Larry Kreig Bowser DC

NPI 1023093275 - Chiropractor - 111N00000X

NPI Details
NPI 1023093275
Gender Male
Enumeration Date 12/09/2005
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
14511 7TH ST
VICTORVILLE CA, 92395-4263, US
Phone (760) 843-7201
Fax (760) 843-7211
Business Location
12580 COBALT RD
VICTORVILLE CA, 92392-7509, US
Phone (760) 952-1024
Fax (760) 843-7211
Toxanomy
Taxonomy Code 111N00000X
License State California
License Number DC11273
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According to our database, Larry Kreig Bowser DC NPI is 1023093275, taxonomy code is 111N00000X and license number is DC11273, license state is located at California. Larry Kreig Bowser DC physically located at 14511 7th St, Victorville CA, 92395-4263. NPI Number Larry Kreig Bowser DC has the Individual type.

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1023093275 NPI number is provided on an as is basis without warranty of any kind. 1023093275 is maintained by the National Plan & Provider Enumeration System. The contents of Larry Kreig Bowser DC are for informational purposes only.