| NPI | 1801075783 |
|---|---|
| Doing Business As | LOS ALAMOS GENERAL SURGERY CLINIC |
| Entity Type | Organization |
| Authorized Contact | ANGIE MANGUM Director 505-521-5277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2007-10-29 |