| NPI | 1932118734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY PURO Owner 505-753-7391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: NM 6164) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2020-08-22 |