Organization
MEDLEY CHIROPRACTIC DC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MARTIN MEDLEY DC FAACP (OWNER/PRESIDENT)
(575) 887-0565
Entity
Organization
Contact information
Practice address
926 N CANAL ST, CARLSBAD, NM 88220-5110
(575) 887-0565
(575) 885-5818
Mailing address
926 N CANAL ST, CARLSBAD, NM 88220-5110
(575) 887-0565
(575) 885-5818
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
733
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NM01K917
BCBSNM
NM
Enumeration date
02/29/2008
Last updated
05/16/2012
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