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Individual

DR. MITCHELL C HARDING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1425 ARCH ST, 1ST FLOOR, PHILADELPHIA, PA 19102-1507
(215) 557-9090
(215) 557-9089
Mailing address
1600 ARCH ST, UNIT 502, PHILADELPHIA, PA 19103-2028
(570) 764-0528

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC008941
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1476648
PA BLUE SHIELD
PA
01
2157340000
INDEPENDENCE BLUE CROSS
PA
Enumeration date
07/19/2006
Last updated
07/08/2007
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