| NPI | 1992132500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK J DIMOTTA Provider Owner 575-630-1214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM 2000-25) |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2013-09-27 |