| NPI | 1942581202 |
|---|---|
| Doing Business As | ID CONSULTANTS |
| Entity Type | Organization |
| Authorized Contact | ANGIE MANGUM Director 575-521-5277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2011-08-31 |