| NPI | 1811769938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN J FISHBURN Doctor Of Preventive Medicine 505-550-6284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center Public Health, State or Local |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2023-10-23 |