| NPI | 1750550067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY KAY KLOEPPEL M.D., Director, Student Health Ctr 505-277-1068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2015-08-20 |