Dr. Richard Michael Edwards, D.C.
Chiropractor in Farmington, NM. Individual provider (NPI-1).
NPI number1558375436
StatusActive
Last updated in NPPESApr 6, 2021
Details
- NPI
- 1558375436
- Entity type
- Individual (NPI-1)
- Name
- Dr. Richard Michael Edwards
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 28, 2006
- Certification date
- Apr 6, 2021
- Last updated
- Apr 6, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | DC2069 | NM | Yes |
| 111N00000X | Chiropractor | 7709 | AZ |
Practice location
2110 Sullivan Ave # 5Farmington, NM 87401-4324
Phone 505-444-0856
Mailing address
2110 Sullivan Ave # 5Farmington, NM 87401-4324
Phone 505-444-0856
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