Organization
VITAL LIFE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZAK ALFSTAD D.C. (PRESIDENT)
(605) 791-3222
Entity
Organization
Contact information
Practice address
811 DISK DRIVE, SUITE 101, RAPID CITY, SD 57701-7803
(605) 791-3222
Mailing address
PO BOX 3685, RAPID CITY, SD 57709-3685
(605) 791-3222
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1218
SD
Other
Enumeration date
01/08/2015
Last updated
06/18/2015
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