# DYNAMIC INTEGRATIVE HEALTH PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821462904
- **Authorized official:** DR. CHRISTOPHER J LONG D.C. (BUSINESS PARTNER)
- **Authorized official phone:** (559) 432-9700

## Contact information

- **Practice address:** 1382 E ALLUVIAL AVE STE 106, FRESNO, CA 93720-2699
- **Practice address phone:** (559) 432-9700
- **Practice address fax:** (559) 432-9701
- **Mailing address:** 1382 E ALLUVIAL AVE, SUITE 106, FRESNO, CA 93720-2699
- **Mailing address phone:** (559) 432-9700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | DC29486 | NULL | — |
| 111N00000X | Chiropractor | DC29486 | — | — |
| 111N00000X | Chiropractor | DC32064 | NULL | — |
| 111N00000X | Chiropractor | DC32064 | — | — |
| 208D00000X | General Practice Physician | A32806 | CA | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 11/30/2015
- **Last updated:** 01/22/2016