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NPI Code Detail

MEDICARE: ALTURA CHIROPRACTIC, LLC

MEDICARE: ALTURA CHIROPRACTIC, LLC
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
1111N00000XChiropractor

General Provider Information

NPI Number : 1730389438
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALTURA CHIROPRACTIC, LLC
Provider Business Mailing Address
First Line : 1919 VETERANS BOULEVARD
Second Line : SUITE 200
City : KENNER
State : LA
Zip : 70062
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1900 CARLISLE BLVD NE STE A
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87110-4963
Country : US
Telephone Number : 505-266-6200
Fax Number :
Authorized Official
Title or Position : BUSINESS OFFICE MANAGER
Name : BUFFIE ROME
Credential :
Telephone Number : 504-467-0302
Provider Enumeration Date : 07/20/2007
Last Update Date : 07/20/2007

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Directions to “ALTURA CHIROPRACTIC, LLC ” Practice Location

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