| NPI | 1891578340 |
|---|---|
| Doing Business As | PETROGLYPH PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL M ARCHULETA Nurse Practitioner 505-502-4401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2023-08-17 |
| Last Update Date | 2024-01-13 |