| 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 |