| NPI | 1043203904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUMMER L. GRAHAM Doctor Of Chiropractic 505-334-3633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NM 1705) |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2009-07-17 |