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Organization
RIVER STREET SPINE CLINIC PC
Active
Organization
RIVER STREET SPINE CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN MARK WARNOCK D.C. (OWNER AND CEO)
(617) 298-1776
Entity
Organization
Contact information
Practice address
500 RIVER ST, MATTAPAN, MA 02126-2211
(617) 298-1776
(617) 298-7366
Mailing address
500 RIVER ST, MATTAPAN, MA 02126-2211
(617) 298-1776
(617) 298-7366
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2765
MA
Other
Enumeration date
02/05/2007
Last updated
08/22/2020
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