Organization
SPAULDING CHIROPRACTIC CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WARREN M. MOORE D.C. (OWNER/CHIROPRACTIC)
(907) 456-4234
Entity
Organization
Contact information
Practice address
515 7TH AVE STE 230, FAIRBANKS, AK 99701-4949
(907) 456-4234
(907) 451-9168
Mailing address
515 7TH AVE STE 230, FAIRBANKS, AK 99701-4949
(907) 456-4234
(907) 451-9168
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1004390
—
AK
05
—
GR0215
—
AK
Enumeration date
03/19/2007
Last updated
01/16/2019
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