Inice Gough Dc Pc

NPI 1275523268 - Chiropractor - 111N00000X

NPI Details
NPI 1275523268
Enumeration Date 10/21/2005
Last Updated 12/10/2012
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name INICE D INICE
Position PRESIDENT
Phone (541) 549-3583
Fax (541) 549-3583
Practice Location
270 S SPRUCE
SISTERS OR, 97759, US
Phone (541) 549-3583
Fax (541) 549-3583
Business Location
PO BOX 2178
SISTERS OR, 97759-2178, US
Phone (541) 549-3583
Fax (541) 549-3583
Toxanomy
Taxonomy Code 111N00000X
License State Oregon
License Number 272994
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According to our database, Inice Gough Dc Pc NPI is 1275523268, taxonomy code is 111N00000X and license number is 272994, license state is located at Oregon. Inice Gough Dc Pc physically located at 270 S Spruce, Sisters OR, 97759. NPI Number 1033115704 has the healthcare provider type.

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1275523268 NPI number is provided on an as is basis without warranty of any kind. 1275523268 is maintained by the National Plan & Provider Enumeration System. The contents of Inice Gough Dc Pc are for informational purposes only.