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Organization

CHIROPRACTIC AND REHAB ASSOCIATES OF DALLAS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK EVAN MORRIS D.C. (VICE PRESIDENT)
(570) 696-4346
Entity
Organization

Contact information

Practice address
165 S MEMORIAL HWY, TRUCKSVILLE, PA 18708-1418
(570) 696-4346
Mailing address
165 S MEMORIAL HWY, TRUCKSVILLE, PA 18708-1418
(570) 696-4346

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
DC007819L
PA
111NR0400X
Rehabilitation Chiropractor
DC009260
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0018655130002
PA
01
037425
BLUESHIELD-DR.MILLER
PA
05
1010922510001
PA
01
1630101
BLUESHIELD-DR. MORRIS
PA
01
7658428
AETNA-DR. MILLER
PA
01
7897615
AETNA-DR.MORRIS
PA
01
814279
FIRSTPRIORITY-DR.MILLER
PA
01
818354
FIRSTPRIORITY-DR.MORRIS
PA
Enumeration date
04/20/2007
Last updated
08/22/2020
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