| NPI | 1811644933 |
|---|---|
| Doing Business As | 360 MEDICINE |
| Entity Type | Organization |
| Authorized Contact | LAWRENCE RUSSELL CANFIELD Medical Director 505-795-7111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2022-03-08 |
| Last Update Date | 2022-03-08 |