Organization
ADVANCED CHIROPRACTIC PAIN RELIEF CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMEY AZZATO (OWNER/DOCTOR)
(814) 781-3355
Entity
Organization
Contact information
Practice address
835 SOUTH SAINT MARYS ROAD, SAINT MARYS, PA 15857
(814) 781-3355
Mailing address
835 SOUTH SAINT MARYS ROAD, SAINT MARYS, PA 15857
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC009029
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ1468700
BCBS PROVIDER NUMBER
PA
Enumeration date
07/08/2006
Last updated
08/22/2020
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