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Organization

PATCH MOVEMENT PLLC

Active
Other names
HealthSource of Bismarck South
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CARLYLE W SCOTT D.C (OWNER)
(701) 751-1660
Entity
Organization

Contact information

Practice address
232 W FRONT AVE, BISMARCK, ND 58504-5503
(701) 751-1660
(701) 751-3717
Mailing address
232 W FRONT AVE, BISMARCK, ND 58504-5503
(701) 751-1660
(701) 751-3717

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
946
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
18040
ND
Enumeration date
07/12/2016
Last updated
07/12/2016
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