Gonstead Family Chiropractic Llc

NPI 1063644060 - Chiropractor - 111N00000X

NPI Details
NPI 1063644060
Enumeration Date 08/10/2009
Last Updated 09/29/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name DALLAN RAYMOND DALLAN
Position MANAGER
Phone (360) 943-8250
Fax (360) 943-0473
Practice Location
2716 PACIFIC AVE SE STE A
OLYMPIA WA, 98501-8804, US
Phone (360) 943-8250
Fax (360) 943-0473
Business Location
2716 PACIFIC AVE SE STE A
OLYMPIA WA, 98501-8804, US
Phone (360) 943-8250
Fax (360) 943-0473
Toxanomy
Taxonomy Code 111N00000X
License State Washington
License Number CH 6009098969
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According to our database, Gonstead Family Chiropractic Llc NPI is 1063644060, taxonomy code is 111N00000X and license number is CH 6009098969, license state is located at Washington. Gonstead Family Chiropractic Llc physically located at 2716 Pacific Ave Se Ste A, Olympia WA, 98501-8804. NPI Number 1033115704 has the healthcare provider type.

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1063644060 NPI number is provided on an as is basis without warranty of any kind. 1063644060 is maintained by the National Plan & Provider Enumeration System. The contents of Gonstead Family Chiropractic Llc are for informational purposes only.