Organization
ASPIRE INTEGRATIVE HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIENGXAY MALAVONG DO (OWNER)
(334) 203-1723
Entity
Organization
Contact information
Practice address
2202 GATEWAY DR STE D, OPELIKA, AL 36801-6870
(334) 203-1723
Mailing address
2202 GATEWAY DR STE D, OPELIKA, AL 36801-6870
(334) 203-1723
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
DO. 1492
AL
Other
Enumeration date
04/04/2016
Last updated
04/04/2016
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