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Chiropractic Providers Chiropractor

Provider NPI: 1164590758

Organization Information:
Organization is not Subpart
Authorized Official:  JOSH G BIBERDORF  GENERAL PARTNER  605-341-7500

Practice Location:
Tel: 605-341-7500  Fax: 605-341-7903

Business Mailing Address:
Tel: 605-341-7500  Fax: 605-341-7903

NPI Information:
NPI: 1164590758
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 111N00000X





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