NPI | 1932269073 |
---|---|
Former Legal Business Name | REBECCA J SHODEN MD |
Entity Type | Organization |
Authorized Contact | REBECCA J SHODEN Owner 505-247-8820 |
Organization Subpart ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NM 83-111) |
Enumeration Date | 2006-12-11 |
Last Update Date | 2010-01-11 |