Organization
EDWARD A. MADRID, DC, PC
Active
Other names
Pfaff Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD MADRID D.C. (OWNER/PRESIDENT)
(406) 628-4622
Entity
Organization
Contact information
Practice address
104 E 1ST ST, LAUREL, MT 59044-3030
(406) 628-4622
Mailing address
104 E 1ST ST, LAUREL, MT 59044-3030
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1204
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043385479
PTAN
MT
Enumeration date
12/05/2011
Last updated
12/05/2011
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