Organization
KINGMAN CHIROPRACTIC CLINIC PC
Active
Other names
Dennis D and Ryan D Gustafson DC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN D GUSTAFSON DC (PRESIDENT)
(928) 753-2047
Entity
Organization
Contact information
Practice address
1910 LUCILLE AVE, KINGMAN, AZ 86401-4693
(928) 753-2047
(928) 753-2020
Mailing address
1910 LUCILLE AVE, KINGMAN, AZ 86401-4693
(928) 753-2047
(928) 753-2020
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
12/22/2006
Last updated
07/11/2008
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