Organization
MURRAY CHIROPRACTIC CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOANNA L. MERTZ CA (CLINIC COORDINATOR)
(605) 697-5090
Entity
Organization
Contact information
Practice address
750 22ND AVE S, BROOKINGS, SD 57006-2822
(605) 697-5090
(605) 697-5090
Mailing address
750 22ND AVE S, BROOKINGS, SD 57006-2822
(605) 697-5090
(605) 697-5090
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
708
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0080133
WELLMARK BLUE CROSS BLUE SHIELD
SD
01
—
3K028MU
BLUE CROSS BLUE SHIELD OF MN
MN
01
—
CASD1
DAKOTACARE
SD
01
—
CASD2
SANFORD
SD
Enumeration date
06/15/2010
Last updated
10/23/2013
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