Organization
LAUREL STREET CHIROPRACTIC & SPA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STAN R THROCKMORTON D.C. DABCI (OWNER)
(907) 248-2848
Entity
Organization
Contact information
Practice address
4119 LAUREL STREET, ANCHORAGE, AK 99508
(907) 248-2848
(907) 258-6610
Mailing address
4119 LAUREL STREET, ANCHORAGE, AK 99508
(907) 248-2848
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
AA219
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH0219
—
AK
Enumeration date
10/12/2007
Last updated
10/12/2007
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