Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 650 | NM |
N | 111NR0200X | Radiology | 650 | NM |
N | 213ER0200X | Radiology | 650 | NM |
NPI | 1790840429 |
---|---|
Provider Name | Dr. David A. Dengler |
First Address | Albuquerque, NM 87111-7239 |
Second Address | Albuquerque, NM 87111-6723 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/12/2006 |
Last Update Date | 11/11/2020 |