Organization
CUSTOM CHIROPRACTIC & WELLNESS CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA DAVID FINE D.C. (OWNER/OPERATOR)
(541) 245-9544
Entity
Organization
Contact information
Practice address
1910 E BARNETT RD, STE #103, MEDFORD, OR 97504-8672
(541) 245-9544
(541) 245-9574
Mailing address
1910 E BARNETT RD, STE #103, MEDFORD, OR 97504-8672
(541) 245-9544
(541) 245-9574
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4067
OR
Other
Enumeration date
05/15/2013
Last updated
05/15/2013
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