Organization
PRO-ACTIVE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER W. UNVERFERTH DC (OWNER)
(505) 984-0934
Entity
Organization
Contact information
Practice address
1892A PLAZA DEL SUR DR, SANTA FE, NM 87505-6043
(505) 984-0934
(505) 988-8018
Mailing address
1892A PLAZA DEL SUR DR, SANTA FE, NM 87505-6043
(505) 984-0934
(505) 988-8018
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1415
NM
Other
Enumeration date
04/23/2007
Last updated
04/22/2008
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