Organization
CANYON CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A PALMER DC (CHIROPRACTOR)
(505) 425-9341
Entity
Organization
Contact information
Practice address
2505 RIDGE RUNNER RD, LAS VEGAS, NM 87701-4972
(505) 425-9341
(505) 672-7775
Mailing address
2505 RIDGE RUNNER RD, LAS VEGAS, NM 87701-4972
(505) 425-9341
(505) 672-7775
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2097
NM
Other
Enumeration date
06/04/2014
Last updated
09/24/2019
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