Organization
POTTENGER FAMILY CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYSON POTTENGER D.C. (DOCTOR / OWNER)
(770) 855-9081
Entity
Organization
Contact information
Practice address
500 MARKET ST STE 107, BEAVER, PA 15009-2998
(724) 774-3275
Mailing address
500 MARKET ST STE 107, BEAVER, PA 15009-2998
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC010556
PA
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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