Individual
DOUGLAS WILLIAM PAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.M
Contact information
Practice address
105 BROADWAY, MORIARTY, NM 87035
(505) 717-9185
Mailing address
26 CROSS RANCH RD, STANLEY, NM 87056-9764
(505) 717-9185
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1015
NM
Other
Enumeration date
10/11/2012
Last updated
10/11/2012
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