| NPI | 1891852240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE HEDSTROM Owner 505-883-5657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NM 96-270) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |