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Organization
IRONTON PARK AVENUE CHIROPRACTIC CENTER, INC.
Active
Organization
IRONTON PARK AVENUE CHIROPRACTIC CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE A. LEIST (MANAGER)
(740) 622-7108
Entity
Organization
Contact information
Practice address
901 PARK AVE, IRONTON, OH 45638-1529
(740) 532-8888
(740) 532-1796
Mailing address
901 PARK AVE, IRONTON, OH 45638-1529
(740) 532-8888
(740) 532-1796
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
2084N0400X
Neurology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0052323
—
OH
Enumeration date
05/09/2007
Last updated
10/30/2013
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