Organization
ACTIVE HEALTH & WELLNESS CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARVIN B SMITH DC (PRESIDENT)
(309) 764-3900
Entity
Organization
Contact information
Practice address
5203 37TH AVENUE CT, MOLINE, IL 61265-6636
(309) 736-4220
Mailing address
5203 37TH AVENUE CT, MOLINE, IL 61265-6636
(309) 736-4220
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38007310
IL
Other
Enumeration date
09/20/2006
Last updated
09/30/2011
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