| NPI | 1821427261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL MARIE BRADLEY Chiropractor 505-883-1011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: NM 2074) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NM 2074) |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2013-11-12 |