Individual
DR. BRUCE RANDY FILLMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
100 MECHEM DR UNIT 8, RUIDOSO, NM 88345-6801
(575) 937-1900
Mailing address
100 MECHEM DR UNIT 8, RUIDOSO, NM 88345-6801
(575) 937-1900
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1517
NM
Other
Enumeration date
11/05/2008
Last updated
11/05/2008
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