Organization
PREMIER CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RON SISCOE D.C. (OWNER)
(610) 876-6180
Entity
Organization
Contact information
Practice address
3215 EDGMONT AVE, BROOKHAVEN, PA 19015-3104
(610) 876-6180
(610) 876-6130
Mailing address
3215 EDGMONT AVE, BROOKHAVEN, PA 19015-3104
(610) 876-6180
(610) 876-6130
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC007499L
PA
Other
Enumeration date
06/02/2009
Last updated
06/02/2009
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