| NPI | 1356530927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EZEKIEL BRUCE BRIMHALL Senior Manager Of Corporation 505-324-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NM NM1708) |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2007-10-19 |