NPI | 1770189045 |
---|---|
Other Name | SJHP FAMILY MEDICINE FARMINGTON |
Doing Business As | SJHP FAMILY MEDICINE FARMINGTON |
Entity Type | Organization |
Authorized Contact | KIM R HIPSHER-BYRD Cbo Director 505-609-2258 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2020-12-10 |
Last Update Date | 2020-12-10 |