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Organization
MOXON CHIROPRACTIC, S.C.
Active
Organization
MOXON CHIROPRACTIC, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD LEE MOXON D.C. (PRESIDENT/DOCTOR)
(920) 907-1283
Entity
Organization
Contact information
Practice address
93 S PIONEER RD, 200, FOND DU LAC, WI 54935-3873
(920) 907-1283
(920) 907-1285
Mailing address
93 S PIONEER RD, PO BOX 1776, FOND DU LAC, WI 54935-3873
(920) 907-1283
(920) 907-1285
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3019 - 012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38880600
—
WI
01
—
U49065
UPIN
WI
Enumeration date
04/11/2008
Last updated
04/11/2008
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