Doctor Name: | DR. TRACY A. MARQUEZ |
NPI Number: | 1174706568 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DC |
License Number: | 3968 |
Business Practice Address: | 201 S. Main Ave. Aztec, NM - 87410 |
Business Phone Number: | 5053345000 |
Business Fax Number: | |
Mailing Address: | 410 S Main Ave, AZTEC |
State: | NM |
Postal Code: | 874102217 |
Phone Number: | 5053345000 |
Fax Number: | |
NPI Enumeration Date: | 12/09/2007 |
NPI Last Update Date: | 01/19/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 3968 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy 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 interrelationship with other body systems. |