Advanced Chiropractic Clinic LLC
NPI #1013310085 in Aztec, New Mexico
Provider Information
- NPI Number
- 1013310085
- Entity Type
- Organization
- Organization Name
- Advanced Chiropractic Clinic LLC
- Primary Specialty
- Chiropractor
- Enumeration Date
- Oct 3, 2014
- Last Updated
- Oct 3, 2014
Practice Location
- Address
- 1415 W AZTEC BLVD
- Address 2
- STE 4
- City
- Aztec
- State
- New Mexico
- ZIP Code
- 87410-1868
- Phone
- (505) 334-5004
Authorized Official
- Name
- JONATHON QUALLS, DC
- Title
- CHIROPRACTIC PHYSICIAN/MEMBER
- Phone
- (505) 334-5004
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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