Healthcare Provider Details

I. General information

NPI: 1215084488
Provider Name (Legal Business Name): GARNER CHIROPRACTIC, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2003 SOUTHERN BLVD SE STE 109
RIO RANCHO NM
87124-3752
US

IV. Provider business mailing address

2003 SOUTHERN BLVD SE STE 109
RIO RANCHO NM
87124-3752
US

V. Phone/Fax

Practice location:
  • Phone: 505-892-2222
  • Fax: 505-892-1056
Mailing address:
  • Phone: 505-892-2222
  • Fax: 505-892-1056

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number875
License Number StateNM

VIII. Authorized Official

Name: DR. CURTIS LEN GARNER
Title or Position: PRESIDENT
Credential: D.C.
Phone: 505-892-2222