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Individual

STATEN C MEDSKER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
15600 NE 8TH ST, B1-468, BELLEVUE, WA 98008-3927
(423) 284-1441
Mailing address
15600 NE 8TH ST, B1-468, BELLEVUE, WA 98008-3927
(423) 284-1441

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2119
TN

Other

Enumeration date
01/18/2007
Last updated
12/26/2014
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