Diamondback Wellness Center LLC

NPI #1336528918 in Albuquerque, New Mexico

Provider Information

NPI Number: 1336528918
Entity Type: Organization
Organization Name: Diamondback Wellness Center LLC
Subpart: Yes (part of a larger organization)
Parent Organization: DIAMONDBACK WELLNESS CENTER
Primary Specialty: Chiropractor
Enumeration Date: May 28, 2015
Last Updated: May 28, 2015

Practice Location

Address: 633 KINLEY AVE NW
City: Albuquerque
State: New Mexico
ZIP Code: 87102
Phone: (505) 242-1067

Authorized Official

Name: DR. GINA T OGORZALY, D.C.
Title: MANAGER
Phone: (505) 242-1067

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X
Chiropractor	111N00000X	Primary

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