Organization
PROVANCE CHIROPRACTIC SPORTS AND WELLNESS, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES E RIZER DC (CO-OWNER)
(504) 456-9296
Entity
Organization
Contact information
Practice address
2007 CLEARVIEW PKWY, METAIRIE, LA 70001-2404
(504) 456-9296
Mailing address
2007 CLEARVIEW PKWY, METAIRIE, LA 70001-2404
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
1508
LA
Other
Enumeration date
05/15/2015
Last updated
05/15/2015
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