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Individual

DR. DAVID DALE MARN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
550 POPE AVE, FORT LEAVENWORTH, KS 66027-2332
(913) 684-6156
Mailing address
MUNSON ARMY HEALTH CENTER, 550 POPE AVENUE, FORT LEAVENWORTH, KS 66027
(913) 684-6156

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2175
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
890860B
NC
Enumeration date
05/21/2007
Last updated
02/20/2023
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