Organization
DEBOARD & GOVETT, DOCTORS OF CHIROPRACTIC, A PROFESSIONAL CORPORATION.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND ALLAN GOVETT DC (SECRETARY)
(209) 537-5068
Entity
Organization
Contact information
Practice address
2943 4TH ST, CERES, CA 95307-3222
(209) 537-5068
(209) 537-9187
Mailing address
2943 4TH ST., CERES, CA 95307
(209) 537-5068
(209) 537-9087
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC0107740
CA
111N00000X
Chiropractor
Primary
DC0107830
CA
111NI0013X
Independent Medical Examiner Chiropractor
DC0107830
CA
111NX0800X
Orthopedic Chiropractor
DC0107830
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T04053
—
CA
05
—
T04058
—
CA
Enumeration date
07/23/2007
Last updated
07/23/2007
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