Organization
POKORNY CHIROPRACTIC CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY VERONICA POKORNY (BUSINESS MANAGER)
(701) 225-6819
Entity
Organization
Contact information
Practice address
1035 3RD AVE W, DICKINSON, ND 58601-3802
(701) 225-6819
(701) 225-1976
Mailing address
1035 3RD AVE W, DICKINSON, ND 58601-3802
(701) 225-6819
(701) 225-1976
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
734
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12770
—
ND
Enumeration date
03/22/2012
Last updated
03/22/2012
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