Organization
SUMMIT HILL CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TONY FAVRE DC (OWNER)
(651) 292-0050
Entity
Organization
Contact information
Practice address
976 GRAND AVE, SAINT PAUL, MN 55105-3014
(651) 292-0050
Mailing address
976 GRAND AVE, SAINT PAUL, MN 55105-3014
(651) 292-0050
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679112247
NPPES
MN
Enumeration date
05/19/2020
Last updated
05/19/2020
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