Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DOUG PENDERGRASS, D.C.
ActiveDR. DOUG PENDERGRASS, D.C. is a Chiropractor healthcare provider located in FLORA VISTA, New Mexico. NPI 1902942352 is currently active in the NPPES registry. Verify at CMS.
Chiropractor · FLORA VISTA, NM
Registration Details
- NPI Number
- 1902942352
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 30, 2007 (19.53972555741 yrs)
- Last Updated
- Dec 30, 2015
- License
-
1679 (NM)
Practice Information
- Address
-
12 ROAD 3540FLORA VISTA, NM, 874159601Browse NM providers · Browse ZIP 87415
- Phone
- 5058600862
- Fax
- 5058600862
- Primary Specialty
-
Chiropractor
111N00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.