| NPI | 1831214857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KETIH F BOGGS Administrator 505-556-8150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 176B00000X Midwife |
| 208000000X Pediatrics | |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2008-10-10 |