Organization
MOSES LAKE CHIROPRACTIC CENTER PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER LEROY FAIRBANKS DC DOCTOR OF CHIROPR (PRESIDENT MOSES LAKE CHIROPRACTIC P)
(509) 765-9235
Entity
Organization
Contact information
Practice address
414 BEECH STREET, MOSES LAKE, WA 98837-1914
(509) 765-9235
Mailing address
414 BEECH STREET, MOSES LAKE, WA 98837-1914
(509) 765-9235
(509) 765-9235
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
12/10/2007
Last updated
12/10/2007
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