NPI 1225308885

Hazen Chiropractic Center

Organisation Exclusive Provider Organization Clovis, NM

Practice location

Address: 1825 W 21st St, Clovis, NM 88101-4023
Phone: (575) 935-5560

Authorised official

Name: Stacey Renee Hazen
Title: Owner
Phone: (575) 935-5560

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 1939 (NM)

Other Exclusive Provider Organization providers in New Mexico →

Registry record

NPI: 1225308885
Entity type: Organization
NPI issued: 12 Jan 2012
Record last updated: 2 Jul 2012

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.