| NPI | 1770738999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON CLARK Clinic Director 505-324-0149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2010-02-09 |