Organization
HEALTH QUEST WELLNESS CENTRAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLEN R MINER D.C. (DIRECTOR)
(505) 433-4646
Entity
Organization
Contact information
Practice address
723 SILVER AVE SW STE L1, ALBUQUERQUE, NM 87102-3018
(505) 200-9937
Mailing address
PO BOX 90338, ALBUQUERQUE, NM 87199-0338
(505) 200-9937
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1574
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407052467
INDIVIDUAL NPI
NM
Enumeration date
09/18/2014
Last updated
09/18/2014
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