NPI | 1497929665 |
---|---|
Doing Business As | JOSHUA RAPHAEL PHELPS |
Entity Type | Organization |
Authorized Contact | JOSHUA RAPHAEL PHELPS Chiropractor 505-977-0921 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NM 1710) |
Enumeration Date | 2008-04-17 |
Last Update Date | 2008-04-17 |