15th Street Chiropractic Pc

NPI 1073786653 - Clinic/Center - 261Q00000X

NPI Details
NPI 1073786653
Enumeration Date 04/03/2008
Last Updated 04/03/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MARK W MARK
Position OWNER
Phone (406) 771-1222
Fax (406) 771-1225
Practice Location
222 15TH ST S
SUITE C
GREAT FALLS MT, 59405-2459, US
Phone (406) 771-1222
Fax (406) 771-1225
Business Location
222 15TH ST S
SUITE C
GREAT FALLS MT, 59405-2459, US
Phone (406) 771-1222
Fax (406) 771-1225
Toxanomy
Taxonomy Code 261Q00000X
License State Montana
License Number 537
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According to our database, 15th Street Chiropractic Pc NPI is 1073786653, taxonomy code is 261Q00000X and license number is 537, license state is located at Montana. 15th Street Chiropractic Pc physically located at 222 15th St S, Great Falls MT, 59405-2459. NPI Number 1033115704 has the healthcare provider type.

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1073786653 NPI number is provided on an as is basis without warranty of any kind. 1073786653 is maintained by the National Plan & Provider Enumeration System. The contents of 15th Street Chiropractic Pc are for informational purposes only.