| NPI | 1982918090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAUDENCIO PAVIA Md/Owner 575-647-8366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2003-0735) |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2010-07-30 |