Organization
BANDALO CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIRO BANDALO D.C. (PRESIDENT)
(404) 683-4007
Entity
Organization
Contact information
Practice address
1428 PHILLIPS LN, SUITE 300, SAN LUIS OBISPO, CA 93401-2537
(805) 843-8688
(805) 543-8732
Mailing address
1428 PHILLIPS LN, SUITE 300, SAN LUIS OBISPO, CA 93401-2537
(805) 843-8688
(805) 543-8732
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC32149
CA
Other
Enumeration date
05/09/2012
Last updated
05/09/2012
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