Organization
ELITE ORTHO-THERAPY AND SPORTS MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEAU B HIGHTOWER DC (OWNER)
(505) 252-4080
Entity
Organization
Contact information
Practice address
2125 LOUISIANA BLVD NE, SUITE 160, ALBUQUERQUE, NM 87110-5416
(505) 252-4080
Mailing address
2125 LOUISIANA BLVD NE, SUITE 160, ALBUQUERQUE, NM 87110-5416
(505) 252-4080
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1994
NM
Other
Enumeration date
12/18/2012
Last updated
12/18/2012
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