Organization
EMBODIED SOUL CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL ADAM POLGAR D.C. (DOCTOR OF CHIROPRACTIC)
(408) 373-1358
Entity
Organization
Contact information
Practice address
5305 HERITAGE CT NE, ALBUQUERQUE, NM 87109-3178
(505) 822-5001
Mailing address
5305 HERITAGE CT NE, ALBUQUERQUE, NM 87109-3178
(505) 822-5001
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2146
NM
Other
Enumeration date
09/15/2016
Last updated
09/15/2016
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