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Organization

D'ANTONIO CHIROPRACTIC CLINIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEIRDRE D'ANTONIO DC (EMPLOYEE)
(541) 608-0169
Entity
Organization

Contact information

Practice address
10 CRATER LAKE AVE, MEDFORD, OR 97504-7445
(541) 608-0169
Mailing address
10 CRATER LAKE AVE, MEDFORD, OR 97504-7445
(541) 608-0169

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2576
OR

Other

Enumeration date
09/22/2017
Last updated
07/21/2022
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