| NPI | 1831555366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD W STOKES CFO 575-538-4130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208600000X Surgery |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2018-06-26 |