| NPI | 1972825255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY J BIJAK Chief Executive Officer 505-270-3823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LH0002X Anesthesiology, Hospice and Palliative Medicine |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 207Q00000X Family Medicine | |
| 207QS0010X Family Medicine, Sports Medicine | |
| 208D00000X General Practice | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2010-02-26 |