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Organization

REFORM SPINE & INJURY CARE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CHRISTY J VALDEZ CNMT, LMT (PRESIDENT/CEO)
(505) 821-4325
Entity
Organization

Contact information

Practice address
701 OSUNA RD NE, SUITE 700, ALBUQUERQUE, NM 87113-1384
(505) 821-4325
(505) 822-8460
Mailing address
701 OSUNA RD. NE, SUITE 700, ALBUQUERQUE, NM 87113
(505) 821-4325
(505) 822-8460

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
3703
NM
174400000X
Specialist
5075
NM
174400000X
Specialist
5384
NM
174400000X
Specialist
Primary
MD2006-0083
NM
174400000X
Specialist
R35692
NM

Other

Enumeration date
07/15/2009
Last updated
12/31/2012
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