Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 1189 | NM |
NPI | 1104036540 |
---|---|
Provider Name | Dr. Robert Scott Denbigh |
First Address | Albuquerque, NM 87102-1716 |
Second Address | Albuquerque, NM 87102-1716 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2007 |
Last Update Date | 08/07/2007 |