| NPI | 1942687876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA LYNN TURNEY Practice Administrator 505-293-1333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NM 74-65) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2015-04-29 |