Organization
PURE CHIROPRACTIC & REHAB PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRAD FELDNER D.C. (CHIROPRACTOR)
(701) 893-7873
Entity
Organization
Contact information
Practice address
300 45TH ST S STE 315, FARGO, ND 58103-6511
(701) 893-7873
(701) 893-7876
Mailing address
3227 42ND AVE SW, FARGO, ND 58104-6633
(701) 461-9030
(701) 239-7088
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
719
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18577
—
ND
05
—
60602000
—
MN
Enumeration date
04/21/2009
Last updated
04/21/2009
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