Organization
BACK AND NECK PAIN CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT PURCELL DC (PRESIDENT)
(701) 252-6509
Entity
Organization
Contact information
Practice address
623 10TH ST SE, JAMESTOWN, ND 58401-5546
(701) 252-6509
Mailing address
623 10TH ST SE, JAMESTOWN, ND 58401-0000
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
618
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15462
—
ND
Enumeration date
12/14/2010
Last updated
01/11/2019
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