MEDICARE: NEX STEP, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1669858700
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEX STEP, INC.

Provider Business Mailing Address
First Line	:	518 OLD SANTA FE TRL
Second Line	:	SUITE 1, PMB 220
City	:	SANTA FE
State	:	NM
Zip	:	87505-0398
Country	:	US
Telephone Number	:	505-501-2038
Fax Number	:

Provider Business Practice Location Address
First Line	:	518 OLD SANTA FE TRL
Second Line	:	SUITE 1, PMB 220
City	:	SANTA FE
State	:	NM
Zip	:	87505-0398
Country	:	US
Telephone Number	:	505-501-2038
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	DR. WILLIAM AL BRUNS
Credential	:	D.C.
Telephone Number	:	505-501-2038

Provider Enumeration Date	:	07/30/2015
Last Update Date	:	08/03/2015

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Directions to “NEX STEP, INC. ” Practice Location

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