| NPI | 1255504288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANE BAUER President 575-524-4494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NM 972) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: NM 972) |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2012-10-23 |