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Organization

LAND OF ENCHANTMENT DIAGNOSTICS, LLC

Active
Parent organization
LAND OF ENCHANTMENT SPINE SURGERY, PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
LAND OF ENCHANTMENT SPINE SURGERY, PC
Authorized official
DR. DOUGLAS A SLAUGHTER MD (PRESIDENT)
(505) 792-6886
Entity
Organization

Contact information

Practice address
3620 BOSQUE PLZ NW, SUITE B, ALBUQUERQUE, NM 87120-4297
(505) 792-6886
(877) 296-3211
Mailing address
3620 BOSQUE PLZ NW, SUITE B, ALBUQUERQUE, NM 87120-4297
(505) 792-6886
(877) 296-3211

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
11/06/2012
Last updated
02/27/2013
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