| NPI | 1891070777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN DYMOND Mngr 575-751-5746 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 207ZC0006X Pathology, Clinical Pathology | |
| 208100000X Physical Medicine & Rehabilitation | |
| 208800000X Urology | |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2012-06-08 |