| NPI | 1386833937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRANT FIELDING STODDARD Owner/President 505-896-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NM 1533) |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2008-02-28 |