NPI | 1962984518 |
---|---|
Entity Type | Organization |
Authorized Contact | JANET L BLANCHARD Physician/Owner 505-288-6012 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM 94-194) |
Enumeration Date | 2018-08-30 |
Last Update Date | 2020-09-11 |