Provider Demographics
NPI:1255894721
Name:MARLOW, DUSTIN STEPHEN (DC)
Entity type:Individual
Prefix:DR
First Name:DUSTIN
Middle Name:STEPHEN
Last Name:MARLOW
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3900 EUBANK BLVD NE STE 18
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-3427
Mailing Address - Country:US
Mailing Address - Phone:505-585-3818
Mailing Address - Fax:
Practice Address - Street 1:3900 EUBANK BLVD NE STE 18
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111-3427
Practice Address - Country:US
Practice Address - Phone:505-585-3818
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-10
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34519111N00000X
NMDC2230111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor