Organization
PIONEER CHIROPRACTIC, PC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY STEVENS DC (PRESIDENT)
(732) 962-0073
Entity
Organization
Contact information
Practice address
605 OCEAN RD, SPRING LAKE, NJ 07762-1842
(732) 962-0073
Mailing address
605 OCEAN RD, SPRING LAKE, NJ 07762-1842
(732) 962-0073
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
012157
NY
Other
Enumeration date
12/29/2014
Last updated
12/29/2014
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