Organization
BROAD STREET CHIROPRACTIC CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID R PHILLIPS DC (OWNER)
(614) 251-0222
Entity
Organization
Contact information
Practice address
899 E BROAD ST, SUITE 425, COLUMBUS, OH 43205-1156
(614) 251-0222
(614) 251-0258
Mailing address
899 E BROAD ST STE 425, COLUMBUS, OH 43205-1195
(614) 251-0222
(614) 251-0258
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1946
OH
Other
Enumeration date
04/22/2008
Last updated
10/16/2012
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