Organization
IDEAL HEALTH CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADAM DAVID MADDOX D.C. (OWNER)
(314) 605-2485
Entity
Organization
Contact information
Practice address
7939 HONEYGO BLVD, SUITE 215, WHITE MARSH, MD 21236
(314) 605-2485
Mailing address
7939 HONEYGO BLVD, SUITE 215, WHITE MARSH, MD 21236
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S03500
MD
Other
Enumeration date
01/28/2013
Last updated
01/28/2013
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