Organization
SPINAL HEALTH ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY A MATHISON D.C. (PRESIDENT)
(505) 623-2225
Entity
Organization
Contact information
Practice address
201 N NEVADA AVE, SUITE A, ROSWELL, NM 88201-1729
(505) 623-2225
(505) 623-1170
Mailing address
201 N NEVADA AVE, SUITE A, ROSWELL, NM 88201-1729
(505) 623-2225
(505) 623-1170
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1438
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1438
STATE LICENSE
NM
01
—
1861454100
PROVIDER NPI
NM
01
—
NM00KK92
BLUE CROSS BLUE SHEILD
NM
Enumeration date
01/16/2007
Last updated
08/22/2020
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