| NPI | 1811383136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY HALBIG Managing Member 505-280-2836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2015-04-14 |