Individual
DR. PHILLIP DARIN GOFORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
826 HIGHWAY 60, SOCORRO, NM 87801-3919
(505) 835-9288
(505) 835-2209
Mailing address
826 HIGHWAY 60, SOCORRO, NM 87801-3919
(505) 835-9288
(505) 835-2209
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1388
NM
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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