| NPI | 1891929238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK S BRADLEY Owner/Physician 505-466-2575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NM 2002-0015) |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2009-05-13 |