| NPI | 1841349941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BALDWIN President 505-242-9550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NM PA2006-0033) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |