| NPI | 1770703837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ROSENGREN President 505-983-1513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NM 807 Chiropactic) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NM 178 Acupuncture) |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2013-04-17 |