Individual
DR. GEOFFREY LEIGH ANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3369 39TH ST S, SUITE 3, FARGO, ND 58104-7542
(701) 367-6980
Mailing address
1011 43 1/2 ST SW, APARTMENT 104, FARGO, ND 58103-7324
(763) 639-5838
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
902
ND
Other
Enumeration date
02/17/2012
Last updated
02/17/2012
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