Organization
HEALTH QUEST WELLNESS COTTONWOOD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLEN R MINER D.C. (PRESIDENT)
(505) 433-4646
Entity
Organization
Contact information
Practice address
9664 EAGLE RANCH RD NW STE A-1, ALBUQUERQUE, NM 87114-1578
(505) 890-9355
Mailing address
PO BOX 92348, ALBUQUERQUE, NM 87199-2348
(505) 890-9355
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
2070
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730484627
INDIVIDUAL NPI
NM
Enumeration date
10/24/2013
Last updated
09/18/2014
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