NPI | 1902050040 |
---|---|
Doing Business As | LOS ALAMOS SURGICAL ASSOC- UROLOGY |
Entity Type | Organization |
Authorized Contact | ANGIE MANGUM Director 575-521-5277 |
Organization Subpart ? | No |
Primary Taxonomy | 208800000X Urology (Licence: NM MD2008-0654) |
Enumeration Date | 2008-11-14 |
Last Update Date | 2008-11-14 |