Healthcare Provider Details

I. General information

NPI: 1295830545
Provider Name (Legal Business Name): DAVID BRIAN GREIF DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8625 GOLF COURSE RD NW SUITE A2
ALBUQUERQUE NM
87114
US

IV. Provider business mailing address

11016 MANGANITE G NW
ALBUQUERQUE NM
87114
US

V. Phone/Fax

Practice location:
  • Phone: 505-899-6600
  • Fax:
Mailing address:
  • Phone: 505-681-1772
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1276
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: