Organization
SOUTHWEST ALTERNATIVE MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL J. MCCLURE DC,CCSP (OWNER)
(970) 259-1450
Entity
Organization
Contact information
Practice address
523-A SOUTH CAMINO DEL RIO, DURANGO, CO 81303
(970) 259-1450
(970) 259-1471
Mailing address
PO BOX 1211, BAYFIELD, CO 81122-1211
(970) 259-1450
(970) 259-1471
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
1963
CO
207Q00000X
Family Medicine Physician
DR-40091
CO
363LA2100X
Acute Care Nurse Practitioner
5468
CO
Other
Enumeration date
02/13/2008
Last updated
02/13/2008
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