Organization
MAYFIELD CHIROPRACTIC CLINIC BOSSIER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY J MAYFIELD DC (OWNER)
(318) 512-5230
Entity
Organization
Contact information
Practice address
2136 AIRLINE DR, BOSSIER CITY, LA 71111-3106
(318) 828-1517
(318) 828-1685
Mailing address
PO BOX 14923, MONROE, LA 71207-4923
(318) 512-5231
(318) 323-7265
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1067
LA
Other
Enumeration date
10/12/2017
Last updated
10/12/2017
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