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Organization
WELCH CHIROPRACTIC OFFICE
Active
Organization
WELCH CHIROPRACTIC OFFICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK D WELCH D.C. (GENERAL PARTNER)
(209) 522-0822
Entity
Organization
Contact information
Practice address
1101 STANDIFORD AVE, STE A6, MODESTO, CA 95350-0982
(209) 522-0822
(209) 522-4563
Mailing address
1101 STANDIFORD AVE, STE A6, MODESTO, CA 95350-0982
(209) 522-0822
(209) 522-4563
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC14807
CA
111N00000X
Chiropractor
Primary
DC22206
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ61519Z
BLUE SHIELD - BOTH DR'S
CA
Enumeration date
02/02/2007
Last updated
02/28/2023
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