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Organization

BRUCE A. MAERHOFERDCAPC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRUCE A MAERHOFER D.C. (CHIROPRACTOP/PRESIDENT)
(337) 478-1186
Entity
Organization

Contact information

Practice address
4413 LAKE ST, LAKE CHARLES, LA 70605-4311
(337) 478-1186
Mailing address
4413 LAKE ST, LAKE CHARLES, LA 70605-4311
(337) 478-1186

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
752
LA

Other

Enumeration date
08/20/2009
Last updated
08/20/2009
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