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Organization

MILE HILL CHIROPRACTIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID W MIDDENDORF D.C. (OWNER CHIROPRACTOR)
(360) 871-5200
Entity
Organization

Contact information

Practice address
4519 SE MILE HILL DR STE A, PORT ORCHARD, WA 98366-3909
(360) 871-5200
(360) 871-5350
Mailing address
PO BOX 525, PORT ORCHARD, WA 98366-0525
(360) 871-5200
(360) 871-5350

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1706
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0152874
LMP AMANDA LI
WA
01
0169804
LMP ARIN LI
WA
01
138013
LMP CINDY LI
WA
01
60732
DR DAVES LABOR INDUSTRIE
WA
01
66982
DR JOYCE LABOR INDUSTRIES
WA
Enumeration date
01/18/2007
Last updated
09/15/2008
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