| NPI | 1770841728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN GRACE MIKULEC Physician Assistant 505-272-2325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: NM PA2011-0042) |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2012-04-27 |