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Organization

SPINE ASSOCIATES, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JACK RICCI D.C. (OWNER)
(304) 530-7246
Entity
Organization

Contact information

Practice address
712 N MAIN ST STE 203, MOOREFIELD, WV 26836-1092
(304) 530-7246
(304) 530-7247
Mailing address
712 N MAIN ST STE 203, MOOREFIELD, WV 26836-1092
(304) 530-7246
(304) 530-7247

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2212-2933
WV

Other

Enumeration date
08/27/2008
Last updated
02/09/2009
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