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Organization

DEGLAU FAMILY CHIROPRACTIC PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID D DEGLAU DC (PRESIDENT)
(724) 532-3200
Entity
Organization

Contact information

Practice address
3660 RT 30, LATROBE, PA 15650
(724) 532-3200
(724) 532-4070
Mailing address
3660 RT 30, LATROBE, PA 15650
(724) 532-3200
(724) 532-4070

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
007231
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001552509
BLUE SHIELD
PA
01
354742
HEALTH AMERICA / HEALTH ASSURANCE
PA
Enumeration date
03/09/2007
Last updated
04/22/2008
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