Organization
CORE CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TREVOR RAY SCANLON DC (OWNER)
(763) 744-6605
Entity
Organization
Contact information
Practice address
1155 ANCHOR CT, HARRIS, MN 55032-2900
(763) 744-6605
Mailing address
1155 ANCHOR CT, HARRIS, MN 55032-2900
(763) 744-6605
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3773
MN
Other
Enumeration date
03/30/2011
Last updated
07/18/2011
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