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Organization

THIEDE CHIROPRACTIC, P.S., INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CONRAD THIEDE D.C. (PRESIDENT)
(253) 927-7721
Entity
Organization

Contact information

Practice address
2908 MERIDIAN AVE E, SUITE #103, EDGEWOOD, WA 98371-2190
(253) 927-7721
(253) 841-9390
Mailing address
2908 MERIDIAN AVE E, SUITE #103, EDGEWOOD, WA 98371-2190
(253) 927-7721
(253) 841-9390

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Enumeration date
11/27/2011
Last updated
11/27/2011
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