| NPI | 1912016098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY HUNTER Office Manager 575-622-1761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NM 3-A-446) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM 3-A-446) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2009-09-22 |