Goforth Chiropractic Life Center, P.c.

NPI 1043407919 - Chiropractor - 111N00000X

NPI Details
NPI 1043407919
Enumeration Date 09/25/2007
Last Updated 09/25/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name FORREST WAYNE FORREST
Position DR/OWNER/OPERATOR
Phone (505) 722-9002
Fax (505) 722-7031
Practice Location
108 W HILL AVE
GALLUP NM, 87301-6218, US
Phone (505) 722-9002
Fax (505) 722-7031
Business Location
108 W HILL AVE
GALLUP NM, 87301-6218, US
Phone (505) 722-9002
Fax (505) 722-7031
Toxanomy
Taxonomy Code 111N00000X
License State New Mexico
License Number 433
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According to our database, Goforth Chiropractic Life Center, P.c. NPI is 1043407919, taxonomy code is 111N00000X and license number is 433, license state is located at New Mexico. Goforth Chiropractic Life Center, P.c. physically located at 108 W Hill Ave, Gallup NM, 87301-6218. NPI Number 1033115704 has the healthcare provider type.

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1043407919 NPI number is provided on an as is basis without warranty of any kind. 1043407919 is maintained by the National Plan & Provider Enumeration System. The contents of Goforth Chiropractic Life Center, P.c. are for informational purposes only.