Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 1526 | NM |
N | 111NN0400X | Neurology | 1526 | NM |
NPI | 1952511503 |
---|---|
Provider Name | Dr. H Greg Faust |
First Address | Albuquerque, NM 87110-3506 |
Second Address | Albuquerque, NM 87112-2201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2007 |
Last Update Date | 09/07/2007 |