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Dr. Doug Pendergrass, DC
Chiropractor in Flora Vista, New Mexico
NPI 1902942352

Doug Pendergrass is a Chiropractor based in Flora Vista, NM. Doug Pendergrass practices in Flora Vista, NM and has the professional credentials of DC. The NPI Number for Doug Pendergrass is 1902942352 and holds a License No. 1679 (New Mexico).

The current practice location address for Doug Pendergrass is 12 Road 3540, Flora Vista, NM and can be reached out via phone at 505-860-0862 and via fax at 505-860-0862.

Location: 12 Road 3540, Flora Vista, NM, 87415-9601
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902942352
Provider Name
Doug Pendergrass
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
12 Road 3540, Flora Vista, NM, 87415-9601
Phone Number
505-860-0862
Fax Number
505-860-0862
Provider Enumeration Date
01/30/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8X8022 01 TX BCBS
institution
Provider Business Practice Location Address Details
Address
12 Road 3540
City
Flora Vista
State
New Mexico
Zip
87415-9601
Phone Number
505-860-0862
Fax Number
505-860-0862
person
Provider Business Mailing Address Details
Address
12 Road 3540
City
Flora Vista
State
New Mexico
Zip
87415-9601
Phone Number
505-860-0862
Fax Number
505-860-0862
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
1679 (New Mexico)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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