Healthcare Provider Details

I. General information

NPI: 1215254883
Provider Name (Legal Business Name): MOLECULAR HEALTH CARE USA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2010
Last Update Date: 04/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1480 S SAINT FRANCIS DR
SANTA FE NM
87505-4038
US

IV. Provider business mailing address

1480 S SAINT FRANCIS DR
SANTA FE NM
87505-4038
US

V. Phone/Fax

Practice location:
  • Phone: 505-988-4210
  • Fax: 505-992-2685
Mailing address:
  • Phone: 505-988-4210
  • Fax: 505-992-2685

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: MR. DIRK JOHANNES STRONCK II
Title or Position: OWNER
Credential:
Phone: 505-988-4210