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Organization

ANTHONY FEDORYK DC & EDWARD REZA JR DC PROFESSIONAL CHIROPRACTIC CORPO

Active
Other names
ET Chiropractic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANTHONY FEDORYK DC (PRESIDENT)
(949) 398-6353
Entity
Organization

Contact information

Practice address
4341 BIRCH ST, SUITE 100, NEWPORT BEACH, CA 92660-1924
(949) 398-6353
(949) 398-6354
Mailing address
4341 BIRCH ST, SUITE 100, NEWPORT BEACH, CA 92660-1924
(949) 398-6353
(949) 398-6354

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC28729
CA
111N00000X
Chiropractor
Primary
DC28888
CA

Other

Enumeration date
02/08/2011
Last updated
02/08/2011
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