| NPI | 1831377670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANRDA L THOMPSON Chief Admin Officer 505-242-1711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: NM 9329) |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2008-02-04 |