| NPI | 1972981595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH M LOVATO Owner 505-459-9102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: NM 98320) |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2016-05-03 |