Organization
COMO CHIROPRACTIC HEALTH CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARSHALL A HARRIS D.C. (PRESIDENT)
(651) 771-5540
Entity
Organization
Contact information
Practice address
947 PAYNE AVE, SAINT PAUL, MN 55101-4003
(651) 771-5540
(651) 645-5107
Mailing address
947 PAYNE AVE, SAINT PAUL, MN 55101-4003
(651) 771-5540
(651) 645-5107
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2919
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3K927CO
BLUE CROSS BLUE SHIELD
MN
Enumeration date
04/25/2007
Last updated
06/24/2008
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