Organization
BRUCE L. REDINGTON, D.C.
Active
Other names
West Fargo Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE L REDINGTON DC (CHIROPRACTOR OWNER)
(701) 282-2919
Entity
Organization
Contact information
Practice address
205 SHEYENNE ST, WEST FARGO, ND 58078-1752
(701) 282-2919
(701) 282-2932
Mailing address
205 SHEYENNE ST, WEST FARGO, ND 58078-1752
(701) 282-2919
(701) 282-2932
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
318
ND
111N00000X
Chiropractor
518
ND
111N00000X
Chiropractor
614
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05357001
BC
ND
05
—
12879
—
ND
Enumeration date
03/06/2007
Last updated
06/25/2008
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