| NPI | 1831519800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARA BARKOFF CEO/ Medical Director 505-934-9104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM 96-189) |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2014-04-17 |