| NPI | 1144586561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS EDWARD WEAVER Chiropractic Physician 505-883-5858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NM 540) |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2012-04-10 |