Goforth Chiropractic, Llc

NPI 1053635839 - Chiropractor - 111N00000X

NPI Details
NPI 1053635839
Enumeration Date 03/23/2010
Last Updated 03/23/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name PHILLIP DARIN PHILLIP
Position SOLE DOCTOR/OWNER
Phone (575) 835-9288
Fax (575) 835-2209
Practice Location
826 HIGHWAY 60
SOCORRO NM, 87801-3919, US
Phone (575) 835-9288
Fax (575) 835-2209
Business Location
826 HIGHWAY 60
SOCORRO NM, 87801-3919, US
Phone (575) 835-9288
Fax (575) 835-2209
Toxanomy
Taxonomy Code 111N00000X
License State New Mexico
License Number 1388
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According to our database, Goforth Chiropractic, Llc NPI is 1053635839, taxonomy code is 111N00000X and license number is 1388, license state is located at New Mexico. Goforth Chiropractic, Llc physically located at 826 Highway 60, Socorro NM, 87801-3919. NPI Number 1033115704 has the healthcare provider type.

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1053635839 NPI number is provided on an as is basis without warranty of any kind. 1053635839 is maintained by the National Plan & Provider Enumeration System. The contents of Goforth Chiropractic, Llc are for informational purposes only.