| NPI | 1881792950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEOPOLD JOSEPH RASCHBAUM Owner 505-589-3022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NM 8588) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-06-25 |