Individual
MR. RICHARD PETER DEFELICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC DOM
Contact information
Practice address
1301 RIO GRANDE BLVD NW, SUITE 3, ALBUQUERQUE, NM 87104-2061
(505) 888-1004
(505) 888-6812
Mailing address
1301 RIO GRANDE BLVD NW, SUITE 3, ALBUQUERQUE, NM 87104-2061
(505) 888-1004
(505) 888-6812
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1339
NM
111NN0400X
Neurology Chiropractor
1339
NM
111NS0005X
Sports Physician Chiropractor
1339
NM
Other
Enumeration date
12/27/2006
Last updated
02/08/2008
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