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Organization
PORTER CHIROPRACTIC CLINIC
Active
Organization
PORTER CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWIN D PORTER D.M., D.C. (PRESIDENT)
(330) 452-8811
Entity
Organization
Contact information
Practice address
1412 CLEVELAND AVE NW, CANTON, OH 44703-3103
(330) 452-8811
(330) 452-8871
Mailing address
1412 CLEVELAND AVE NW, CANTON, OH 44703-3103
(330) 452-8811
(330) 452-8871
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009880-8
—
OH
Enumeration date
08/18/2008
Last updated
08/18/2008
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