| NPI | 1851574248 |
|---|---|
| Doing Business As | MMC PHYSICIAN ASSISTANTS |
| Entity Type | Organization |
| Authorized Contact | ANGIE MANGUM Director Physician Services 505-521-5277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2008-06-30 |