| NPI | 1932445350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY MICHELLE ELLIOTT Coumadin Clinic Care Manager 505-291-2402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NM R56893) |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2012-12-13 |