Organization
AUTUMN L MONTEIRO, DC A PROFESSIONAL CORPORATION
Active
Other names
Back On Track Upper Cervical Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUTUMN L MONTEIRO D.C. (PRESIDENT)
(702) 834-5777
Entity
Organization
Contact information
Practice address
6090 S FORT APACHE RD, #100, LAS VEGAS, NV 89148-5658
(702) 834-5777
(702) 442-0755
Mailing address
6090 S FORT APACHE RD, #100, LAS VEGAS, NV 89148-5658
(702) 834-5777
(702) 442-0755
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
B01328
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508092958
TYPE 1 NPI
NV
Enumeration date
11/20/2012
Last updated
11/20/2012
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