NPI | 1912918467 |
---|---|
Doing Business As | LOS PINOS FAMILY HEALTH |
Entity Type | Organization |
Authorized Contact | RICHARD KOZOLL Proprietor 505-289-3326 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM 72-173) |
Enumeration Date | 2006-08-10 |
Last Update Date | 2020-08-22 |