Organization
UPHOLD CHIROPRACTIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP M UPHOLD D.C. (OWNER)
(505) 325-2604
Entity
Organization
Contact information
Practice address
4740 N BUTLER AVE, FARMINGTON, NM 87401-0826
(505) 325-2604
Mailing address
4740 N BUTLER AVE, FARMINGTON, NM 87401-0826
(505) 325-2604
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1619
NM
Other
Enumeration date
07/31/2006
Last updated
08/22/2020
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