Custom Chiropractic & Wellness Clinic Llc

NPI 1134565302 - Chiropractor - 111N00000X

NPI Details
NPI 1134565302
Enumeration Date 05/15/2013
Last Updated 05/15/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name JOSHUA DAVID JOSHUA
Position OWNER/OPERATOR
Phone (541) 245-9544
Fax (541) 245-9574
Practice Location
1910 E BARNETT RD
STE #103
MEDFORD OR, 97504-8672, US
Phone (541) 245-9544
Fax (541) 245-9574
Business Location
1910 E BARNETT RD
STE #103
MEDFORD OR, 97504-8672, US
Phone (541) 245-9544
Fax (541) 245-9574
Toxanomy
Taxonomy Code 111N00000X
License State Oregon
License Number 4067
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According to our database, Custom Chiropractic & Wellness Clinic Llc NPI is 1134565302, taxonomy code is 111N00000X and license number is 4067, license state is located at Oregon. Custom Chiropractic & Wellness Clinic Llc physically located at 1910 E Barnett Rd, Medford OR, 97504-8672. NPI Number 1033115704 has the healthcare provider type.

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1134565302 NPI number is provided on an as is basis without warranty of any kind. 1134565302 is maintained by the National Plan & Provider Enumeration System. The contents of Custom Chiropractic & Wellness Clinic Llc are for informational purposes only.