Organization
5TH AVENUE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN C STAKER D.C. (OWNER)
(630) 240-9084
Entity
Organization
Contact information
Practice address
761 5TH AVE, SUITE F, CHAMBERSBURG, PA 17201-4210
(717) 263-6101
(717) 263-6202
Mailing address
761 5TH AVE, SUITE F, CHAMBERSBURG, PA 17201-4210
(717) 263-6101
(717) 263-6202
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC010105
PA
Other
Enumeration date
09/30/2009
Last updated
09/30/2009
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