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Organization
SHAMOKIN DAM HEALTH CENTER PC
Active
Organization
SHAMOKIN DAM HEALTH CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J DUNIGAN DC (PRESIDENT)
(570) 743-4333
Entity
Organization
Contact information
Practice address
3166 NORTH OLD TRAIL, SHAMOKIN DAM, PA 17876-9409
(570) 743-4333
(570) 743-6012
Mailing address
3166 NORTH OLD TRAIL, SHAMOKIN DAM, PA 17876-9409
(570) 743-4333
(570) 743-6012
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019697320001
—
PA
Enumeration date
01/24/2007
Last updated
05/05/2009
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