| NPI | 1902000680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL LEE JUNCK Physician, Owner 505-670-6549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NM 2005-0474) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2011-12-29 |