Individual
DR. GRANT FIELDING STODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2704 SOUTHERN BLVD SE, STE. #3, RIO RANCHO, NM 87124-3748
(505) 896-1300
(505) 896-6833
Mailing address
2704 SOUTHERN BLVD SE, STE. #3, RIO RANCHO, NM 87124-3748
(505) 896-1300
(505) 896-6833
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1533
NM
Other
Enumeration date
11/16/2006
Last updated
10/05/2007
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