| NPI | 1912039413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY E JOHNSON President 575-526-5525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM 85-3) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NM 77-190) |
| Enumeration Date | 2007-03-10 |
| Last Update Date | 2016-11-08 |