Tommy Clyde Larison in Cedar Crest - Chiropractor
Tommy Clyde Larison - NPI 1902086416
Tommy Clyde Larison is a Chiropractor in Cedar Crest, New Mexico. Tommy Clyde Larison practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Tommy Clyde Larison is 1902086416. The last update date is 2019-03-04.
Tommy Clyde Larison's current location address is 216 Sangre De Cristo, Cedar Crest, New Mexico. You can contact this provider via phone number 5053006390. The mailing address for Tommy Clyde Larison is 216 Sangre De Cristo, Cedar Crest, New Mexico. To know further, please read the information below!
Provider Profile Detail
Provider Name | Tommy Clyde Larison |
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Address | 216 Sangre De Cristo, Cedar Crest, New Mexico |
Phone Number | 5053006390 |
Fax Number | |
Sole Proprietor | N |
Credentials | D.C. |
NPI Number Detail
NPI Number | 1902086416 |
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Provider Enumeration Date | 2007-11-13 |
Last Updated Date | 2019-03-04 |
Provider Mailing Address Detail
Address | 216 Sangre De Cristo |
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City | Cedar Crest |
State | New Mexico (NM) |
Post Code | 870089525 |
Phone Number | 5053006390 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
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Taxonomy | 111N00000X |
Licence No | 1714 |
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 inte |
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What is the unique 10-digit identification code assigned to Tommy Clyde Larison by the Centers for Medicare & Medicaid Services?
The Tommy Clyde Larison has been issued the NPI (National Provider Identifier) 1902086416, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Tommy Clyde Larison's facilities are situated?
The facilities of Tommy Clyde Larison are physically located at the following address: 216 Sangre De Cristo, Cedar Crest, NM, 870089525.
What is Tommy Clyde Larison's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Tommy Clyde Larison is Chiropractor, and the corresponding taxonomy classification code for this specialized field is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1902086416 to Tommy Clyde Larison?
The Centers for Medicare & Medicaid Services originally issued the 1902086416 to Tommy Clyde Larison on 2007-11-13.
As of what date were the Tommy Clyde Larison's details last updated?
The information pertaining to the Tommy Clyde Larison, including its address, specialty, and other details, was most recently updated on 2019-03-04.
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