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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