Organization
CANNON & RUTKOSKI CHIROPRACTIC, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERNARD CANNON D.C. (VICE PRESIDENT)
(619) 501-7873
Entity
Organization
Contact information
Practice address
3503 4TH AVE, SAN DIEGO, CA 92103-4912
(619) 501-7873
Mailing address
3503 4TH AVE, SAN DIEGO, CA 92103-4912
(619) 501-7873
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC30402
CA
111N00000X
Chiropractor
DC30407
CA
Other
Enumeration date
03/21/2012
Last updated
03/21/2012
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