Healthcare Provider Details

I. General information

NPI: 1801577986
Provider Name (Legal Business Name): MARLOW CHIROPRACTIC SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2023
Last Update Date: 07/31/2023
Certification Date: 07/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 EUBANK BLVD NE STE 18
ALBUQUERQUE NM
87111-3427
US

IV. Provider business mailing address

3900 EUBANK BLVD NE STE 18
ALBUQUERQUE NM
87111-3427
US

V. Phone/Fax

Practice location:
  • Phone: 505-585-3818
  • Fax:
Mailing address:
  • Phone: 505-585-3818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. DUSTIN STEPHEN MARLOW
Title or Position: OWNER
Credential: DC
Phone: 505-585-3818