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CANYON WELLNESS AND CHIROPRACTIC

Chiropractic Providers Chiropractor

Provider NPI: 1780732172

Organization Information:
Organization Name:  CANYON WELLNESS AND CHIROPRACTIC
Organization is not Subpart
Authorized Official:  DEAN L JOHNSON  PRESIDENT  605-722-4525

Practice Location:
710 E COLORADO BLVD SUITE A SPEARFISH, SD 57783-4701 US
Tel: 605-722-4525  Fax: 605-722-4533

Business Mailing Address:
710 E COLORADO BLVD SUITE A SPEARFISH, SD 57783-4701 US
Tel: 605-722-4525  Fax: 605-722-4533

NPI Information:
NPI: 1780732172
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers
Chiropractor
SD954

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 111N00000X

Type:

Classification:



Definition:



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