| NPI | 1922045319 |
|---|---|
| Former Legal Business Name | DJRJ2 |
| Entity Type | Organization |
| Authorized Contact | JOSEPH M CHARLES Owner 505-404-9132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NM MD2013-0395) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2015-04-03 |