Organization
SOUTHWEST CENTER FOR THE HEALING ARTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN W KONGS D.C. (PRESIDENT)
(505) 881-3165
Entity
Organization
Contact information
Practice address
7400 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109-1591
(505) 881-3165
Mailing address
7400 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109-1591
(505) 881-3165
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2672478
MEDICARE ID #
NM
Enumeration date
01/26/2010
Last updated
03/26/2010
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