Goforth Chiropractic Life Center, P.c.
NPI #1043407919 in Gallup, New Mexico
Provider Information
- NPI Number
- 1043407919
- Entity Type
- Organization
- Organization Name
- Goforth Chiropractic Life Center, P.c.
- Primary Specialty
- Chiropractor
- Enumeration Date
- Sep 25, 2007
- Last Updated
- Sep 25, 2007
Practice Location
- Address
- 108 W HILL AVE
- City
- Gallup
- State
- New Mexico
- ZIP Code
- 87301-6218
- Phone
- (505) 722-9002
Authorized Official
- Name
- DR. FORREST WAYNE GOFORTH, D.C.
- Title
- DR/OWNER/OPERATOR
- Phone
- (505) 722-9002
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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