| NPI | 1962751669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE WAYNE KLINEKOLE President 575-257-7970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN0400X Chiropractor Neurology (Licence: NM 1375) |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2013-10-16 |