Organization
STRAIGHT CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD FACKRELL (OWNER)
(505) 891-2280
Entity
Organization
Contact information
Practice address
3301 SOUTHERN BLVD SE STE 304, RIO RANCHO, NM 87124-2087
(505) 891-2280
(505) 891-2285
Mailing address
3301 SOUTHERN BLVD SE STE 304, RIO RANCHO, NM 87124-2087
(505) 891-2280
(505) 891-2285
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1577
NM
Other
Enumeration date
08/20/2008
Last updated
09/11/2008
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