Organization
HEALTH SOURCE OF GREAT BEND INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE H STOVER III DC (OWNER)
(570) 879-2979
Entity
Organization
Contact information
Practice address
325 MAIN ST, GREAT BEND, PA 18821-9753
(570) 879-2979
(570) 879-5044
Mailing address
325 MAIN ST, PO BOX 825, GREAT BEND, PA 18821-9753
(570) 879-2979
(570) 879-5044
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC008738
PA
Other
Enumeration date
12/11/2007
Last updated
09/16/2013
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