NPI 1013310085

Advanced Chiropractic Clinic LLC

Organisation Chiropractor Aztec, NM

Practice location

Address: 1415 W Aztec Blvd STE 4, Aztec, NM 87410-1868
Phone: (505) 334-5004
Fax: (505) 334-8077

Authorised official

Name: Jonathon Qualls
Title: Chiropractic Physician/Member
Phone: (505) 334-5004

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 2109 (NM)

Other Chiropractor providers in New Mexico →

Registry record

NPI: 1013310085
Entity type: Organization
NPI issued: 3 Oct 2014
Record last updated: 3 Oct 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.