Desert Hills Chiropractic, PA
Chiropractor in Farmington, NM. Organization (NPI-2).
NPI number1649798810
StatusActive
Last updated in NPPESSep 28, 2022
Details
- NPI
- 1649798810
- Entity type
- Organization (NPI-2)
- Legal business name
- Desert Hills Chiropractic, PA
- Organization subpart
- No
- Enumeration date
- Sep 7, 2017
- Certification date
- Sep 28, 2022
- Last updated
- Sep 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 2158 | NM | Yes |
Other names
- Desert Hills Chiropractic, PA (Doing Business As)
Practice location
1700 N Butler AveFarmington, NM 87401-6331
Phone 505-634-9225 · Fax 505-212-1195
Mailing address
1700 N Butler AveFarmington, NM 87401-6331
Phone 505-634-9225 · Fax 505-212-1195
Authorized official
Kenneth Preston Wingrove
Ceo
5056349225
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