Organization
ISFM LIMITED
Active
Other names
Ideal Spine and Functional Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YOKE T TAN D.C. (OWNER)
(267) 687-7875
Entity
Organization
Contact information
Practice address
525 S 4TH ST STE 254, PHILADELPHIA, PA 19147-1573
(267) 687-7875
Mailing address
525 S 4TH ST STE 254, PHILADELPHIA, PA 19147-1573
(267) 687-7875
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
DC009450
PA
Other
Enumeration date
01/18/2017
Last updated
03/21/2017
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