Organization
DIMOND CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES CHAVIS DC (OWNER)
(907) 790-3371
Entity
Organization
Contact information
Practice address
750 W DIMOND BLVD STE #121, ANCHORAGE, AK 99515-1515
(907) 344-0033
(907) 344-6332
Mailing address
750 W DIMOND BLVD STE #121, ANCHORAGE, AK 99515-1515
(907) 344-0033
(907) 344-6332
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225100000X
Physical Therapist
—
—
261Q00000X
Clinic/Center
105677
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1684500
—
AK
Enumeration date
09/03/2008
Last updated
08/08/2018
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