| NPI | 1851497663 |
|---|---|
| Doing Business As | NEW MEXICO CENTER FOR SLEEP MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JOHN G LIETHEN Secretary 952-205-6262 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2019-08-19 |