Organization
CLASSIC CHIROPRACTIC CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT WAYNE WHITED DC (PRESIDENT)
(575) 623-9983
Entity
Organization
Contact information
Practice address
401 N UNION AVE, ROSWELL, NM 88201-3948
(575) 623-9983
(575) 623-9982
Mailing address
401 N UNION AVE, ROSWELL, NM 88201-3948
(575) 623-9983
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
590
NM
Other
Enumeration date
01/29/2010
Last updated
01/29/2010
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