| NPI | 1851407399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN JOSEPH ANDERSON Medical Director 575-437-0890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NM 1T 3236) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2008-09-18 |