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Organization

PFAFF CLINIC OF CHIROPRACTIC INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GARY ALAN PFAFF D.C. (OWNER)
(406) 628-4622
Entity
Organization

Contact information

Practice address
104 E 1ST ST, LAUREL, MT 59044-3030
(406) 628-4622
(406) 628-4623
Mailing address
104 E 1ST ST, LAUREL, MT 59044-3030
(406) 628-4622
(406) 628-4623

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
221
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000040470
BCBS PROVIDER NUMBER
Enumeration date
03/27/2007
Last updated
02/10/2012
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