Mallory Chiropractic Clinic Pa

NPI 1164408696 - Chiropractor - 111N00000X

NPI Details
NPI 1164408696
Enumeration Date 12/16/2005
Last Updated 03/12/2014
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DAVID A DAVID
Position OWNER
Phone (386) 248-8000
Fax (386) 252-1850
Practice Location
1033 S RIDGEWOOD AVE
DAYTONA BEACH FL, 32114-6151, US
Phone (386) 248-8000
Fax (386) 252-1850
Business Location
1033 S RIDGEWOOD AVE
DAYTONA BEACH FL, 32114-6151, US
Phone (386) 248-8000
Fax (386) 252-1850
Toxanomy
Taxonomy Code 111N00000X
License State Florida
License Number CH0005944
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According to our database, Mallory Chiropractic Clinic Pa NPI is 1164408696, taxonomy code is 111N00000X and license number is CH0005944, license state is located at Florida. Mallory Chiropractic Clinic Pa physically located at 1033 S Ridgewood Ave, Daytona Beach FL, 32114-6151. NPI Number 1033115704 has the healthcare provider type.

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1164408696 NPI number is provided on an as is basis without warranty of any kind. 1164408696 is maintained by the National Plan & Provider Enumeration System. The contents of Mallory Chiropractic Clinic Pa are for informational purposes only.