DR. Bruce Randy Fillmore, D.C.

NPI #1851545743 in Ruidoso, New Mexico

Provider Information

NPI Number: 1851545743
Entity Type: Individual
Name: DR. Bruce Randy Fillmore, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Nov 5, 2008
Last Updated: Nov 5, 2008

Practice Location

Address: 100 MECHEM DR UNIT 8
City: Ruidoso
State: New Mexico
ZIP Code: 88345-6801
Phone: (575) 937-1900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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