Organization
JOHN P DEGENHART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN P DEGENHART (OWNER)
(570) 454-2474
Entity
Organization
Contact information
Practice address
1749 E BROAD ST, HAZLETON, PA 18201-5650
(570) 454-2474
(570) 454-0097
Mailing address
1749 E BROAD ST, HAZLETON, PA 18201-5650
(570) 454-2474
(570) 454-0097
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/11/2006
Last updated
02/12/2013
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