Organization
DABALOS CHIROPRACTIC CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODOLFO A DABALOS D.C. (DOCTOR OF CHIROPRACTIC)
(509) 766-9966
Entity
Organization
Contact information
Practice address
830 E BROADWAY AVE, MOSES LAKE, WA 98837-5932
(509) 766-9966
(509) 766-0083
Mailing address
830 E. BROADWAY, PO BOX 1637, MOSES LAKE, WA 98837-0255
(509) 766-9966
(509) 766-0083
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00001298
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2029502
—
WA
Enumeration date
03/29/2007
Last updated
08/22/2020
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