Individual
DR. PEGGY BRADSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
624 FLINT RIDGE TRL SE, ALBUQUERQUE, NM 87123-1088
(505) 401-1178
Mailing address
PO BOX 51644, ALBUQUERQUE, NM 87181-1644
(505) 401-1178
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
991
NM
Other
Enumeration date
07/08/2009
Last updated
07/08/2009
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