Healthcare Provider Details

I. General information

NPI: 1407843170
Provider Name (Legal Business Name): CURTIS LEN GARNER DC
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 09/28/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2003 SOUTHERN BLVD SE SUITE 109
RIO RANCHO NM
87124-3751
US

IV. Provider business mailing address

2003 SOUTHERN BLVD SE SUITE 109
RIO RANCHO NM
87124-3751
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:
Title or Position:
Credential:
Phone: