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Organization
MOFFITT CHIROPRACTIC INC
Active
Organization
MOFFITT CHIROPRACTIC INC
Active
Other names
Gonstead Family Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY WILLIAM MOFFITT DC (PRESIDENT)
(760) 863-0435
Entity
Organization
Contact information
Practice address
80150 US HIGHWAY 111, SUITE C5, INDIO, CA 92201-8359
(760) 863-0435
(760) 863-0436
Mailing address
80150 US HIGHWAY 111, STE C5, INDIO, CA 92201-8359
(760) 863-0435
(760) 863-0436
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC29077
CA
Other
Enumeration date
04/24/2007
Last updated
08/10/2010
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