DR. Forrest Wayne Goforth, DC

NPI #1598833287 in Gallup, New Mexico

Provider Information

NPI Number: 1598833287
Entity Type: Individual
Name: DR. Forrest Wayne Goforth, DC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Dec 1, 2006
Last Updated: Jun 8, 2012

Practice Location

Address: 108 W HILL AVE
City: Gallup
State: New Mexico
ZIP Code: 87301-6218
Phone: (505) 722-9002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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