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Individual

CHARLES M POPA III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
3328 PRINCETON ROAD, FAIRFIELD TOWNSHIP, OH 45011-5390
(513) 887-9400
(513) 887-7512
Mailing address
3328 PRINCETON ROAD, FAIRFIELD TOWNSHIP, OH 45011-5390
(513) 887-9400
(513) 887-7512

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
08002022A
IN
111N00000X
Chiropractor
Primary
2006
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0966656
OH
05
200847630
IN
Enumeration date
03/30/2006
Last updated
04/16/2012
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