| NPI | 1912038688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT DEAN BAIR President 505-872-8727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: NM A-710-80) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2008-06-12 |