| 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 |