Organization
PACIFIC SPORT & SPINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN SCOTT DEBELL D.C. (PRESIDENT)
(425) 478-0077
Entity
Organization
Contact information
Practice address
22426 WOODWAY PARK RD, WOODWAY, WA 98020-6170
(425) 478-0077
Mailing address
22426 WOODWAY PARK RD, WOODWAY, WA 98020-6170
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
CH60330013
WA
Other
Enumeration date
01/10/2013
Last updated
01/10/2013
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