NPI | 1871772665 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER SCOTT WOODWORTH President/Owner 575-738-8025 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: NM md2005-0443) |
Enumeration Date | 2007-10-29 |
Last Update Date | 2009-06-06 |