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Advanced Chiropractic Clinic LLC — NPI 1013310085, Aztec, NM | NPI Central

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NPI 1013310085

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Advanced Chiropractic Clinic LLC

NPI 1013310085 · Chiropractor · Aztec, NM

Provider details

NPI number: 1013310085
Entity type: Organization
Primary specialty: ChiropractorChiropractic Providers
Authorized official: Jonathon Qualls, Chiropractic Physician/Member
License: 2109 (NM)

Practice location

1415 W Aztec Blvd

Ste 4

Aztec, NM 87410-1868

Phone: (505) 334-5004

Fax: (505) 334-8077

More NM providers

Mailing address

1415 W Aztec Blvd

Aztec, NM 87410-1868

Registry dates

Enumerated: 2014-10-03
Last updated: 2014-10-03

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.