Organization
PRO ACTIVE CHIROPRACTIC
Active
Organization
PRO ACTIVE CHIROPRACTIC
Active
Other names
David Bolton
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID LOWELL BOLTON DC (OWNER, CHIROPRACTOR)
(626) 335-1007
Entity
Organization
Contact information
Practice address
340 S GLENDORA AVE, SUITE #4, GLENDORA, CA 91741-6255
(626) 335-1007
(626) 335-1002
Mailing address
340 S GLENDORA AVE, SUITE #4, GLENDORA, CA 91741-6255
(626) 335-1007
(626) 335-1002
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
DC29572
CA
Other
Enumeration date
05/27/2011
Last updated
05/27/2011
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