Organization
SEVERSONS TAHQUITZ CANYON CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM BRADLEY SEVERSON D.C. (CEO)
(760) 325-4595
Entity
Organization
Contact information
Practice address
2150 E TAHQUITZ CANYON WAY, #5, PALM SPRINGS, CA 92262-7045
(760) 325-4595
Mailing address
2150 E TAHQUITZ CANYON WAY, #5, PALM SPRINGS, CA 92262-7045
(760) 325-4595
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
DC28533
CA
Other
Enumeration date
11/09/2008
Last updated
11/09/2008
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