Eric G Mortensen D.C.

NPI 1073675971 - Chiropractor - 111N00000X

NPI Details
NPI 1073675971
Gender Male
Enumeration Date 12/15/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
4517 MARKET ST
SUITE 1
VENTURA CA, 93003-7710, US
Phone (805) 650-5929
Fax (805) 650-5947
Business Location
4517 MARKET ST
SUITE 1
VENTURA CA, 93003-7710, US
Phone (805) 650-5929
Fax (805) 650-5947
Toxanomy
Taxonomy Code 111N00000X
License State California
License Number 24888
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According to our database, Eric G Mortensen D.C. NPI is 1073675971, taxonomy code is 111N00000X and license number is 24888, license state is located at California. Eric G Mortensen D.C. physically located at 4517 Market St, Ventura CA, 93003-7710. NPI Number Eric G Mortensen D.C. has the Individual type.

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1073675971 NPI number is provided on an as is basis without warranty of any kind. 1073675971 is maintained by the National Plan & Provider Enumeration System. The contents of Eric G Mortensen D.C. are for informational purposes only.