Individual
MRS. DARCY POPE WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1120 E MANANA, CLOVIS, NM 88101
(505) 742-2117
(505) 769-1010
Mailing address
1120 E MANANA, CLOVIS, NM 88101
(505) 742-2117
(505) 769-1010
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1531
NM
111N00000X
Chiropractor
9124
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC5428
MEDICARE-RAILROAD
NM
Enumeration date
11/07/2006
Last updated
12/15/2016
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