Organization
CHIROREVOLUTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK R GOTTFRIED DC (CHIROPRACTOR)
(812) 490-7386
Entity
Organization
Contact information
Practice address
8887 HIGH POINTE DR, SUITE F, NEWBURGH, IN 47630-7969
(812) 490-7386
(812) 490-7386
Mailing address
5844 CYPRESS POINTE DR, NEWBURGH, IN 47630-9843
(812) 480-5835
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002502A
IN
Other
Enumeration date
04/18/2013
Last updated
04/18/2013
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