Individual
GREGORY LOUIS PEREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1112 ALVARADO DR NE, ALBUQUERQUE, NM 87110-6502
(505) 255-6357
(505) 255-6357
Mailing address
1112 ALVARADO DR NE, ALBUQUERQUE, NM 87110-6502
(505) 255-6357
(505) 255-6357
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
535
NM
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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