Organization
NOB HILL HERMOSA, INCORPORATED
Active
Other names
Nob Hill Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN SCOTT GARDNER D.C. (PRESIDENT)
(505) 265-9656
Entity
Organization
Contact information
Practice address
201 DARTMOUTH DR SE, ALBUQUERQUE, NM 87106-2219
(505) 265-9656
(505) 265-2096
Mailing address
201 DARTMOUTH DR SE, ALBUQUERQUE, NM 87106-2219
(505) 265-9656
(505) 265-2096
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
722
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275607426
TYPE 2 NPI
NM
Enumeration date
11/20/2006
Last updated
12/17/2015
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