Doug Pendergrass, D.C. Valid NPI
Individual provider · Chiropractor · Flora Vista, NM
- NPI
- 1902942352
- Type
- Individual (Type 1)
- Primary specialty
- Chiropractor
- Specialty group
- Chiropractic Providers
- Taxonomy code
- 111N00000X
- License number
- 1679 (NM)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-01-30
- Last updated
- 2015-12-30
Practice location
12 Road 3540
Flora Vista, NM 87415-9601
(505) 860-0862