Organization
DEVIN BEACH DC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REG OLLIE OVERMAN III (DIRECTOR OF BUSINESS OPERATIONS)
(410) 987-1304
Entity
Organization
Contact information
Practice address
18 LAKE ST, MONROE, NY 10950-3504
(845) 782-5770
(845) 782-9061
Mailing address
18 LAKE ST, MONROE, NY 10950-3504
(845) 782-5770
(845) 782-9061
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
06/13/2018
Last updated
06/13/2018
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