Organization
CAPITAL CITY CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRAVIS A GRONDIN D.C. (PRESIDENT)
(207) 620-8291
Entity
Organization
Contact information
Practice address
66 EASTERN AVE, AUGUSTA, ME 04330-5837
(207) 620-8291
(207) 620-8292
Mailing address
66 EASTERN AVE, AUGUSTA, ME 04330-5837
(207) 620-8291
(207) 620-8292
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR1652
ME
Other
Enumeration date
10/11/2006
Last updated
03/25/2014
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