Organization
CLEARWATER CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLEN MARICELLI D.C (DOCTOR OF CHIROPRACTIC)
(406) 550-3493
Entity
Organization
Contact information
Practice address
2330 SOUTH HIGGINS AVE, SUITE 100, MISSOULA, MT 59801-6923
(406) 728-0330
(406) 728-0330
Mailing address
2330 SOUTH HIGGINS AVE, SUITE 100, MISSOULA, MT 59801-6923
(406) 728-0330
(406) 728-0330
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
04/06/2022
Last updated
04/17/2023
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