Organization
NEW LEAF CHIROPRACTIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP GUIGNARD DC (DOCTOR, OWNER)
(406) 549-0119
Entity
Organization
Contact information
Practice address
410 W SPRUCE ST, MISSOULA, MT 59802-4106
(406) 549-0119
(406) 549-0946
Mailing address
410 W SPRUCE ST, MISSOULA, MT 59802-4106
(406) 549-0119
(406) 549-0946
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1216
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366778003
NPI
—
Enumeration date
11/25/2009
Last updated
02/16/2010
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