Organization
A BACK & NECK PAIN CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK LEROY RADEZKY DC (OWNER/PRESIDENT)
(509) 924-0880
Entity
Organization
Contact information
Practice address
9803 E SPRAGUE AVE, SPOKANE VALLEY, WA 99206-3645
(509) 924-0880
(509) 924-0997
Mailing address
PO BOX 520, DEER PARK, WA 99006-0520
(509) 924-0880
(509) 924-0997
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00003116
WA
Other
Enumeration date
03/28/2008
Last updated
04/16/2008
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