Individual
DR. JOHN IRVIN DEFFIBAUGH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
126 OSTER STREET, OSTERBURG, PA 16667
(814) 276-3212
(814) 276-9253
Mailing address
126 OSTER STREET, OSTERBURG, PA 16667
(814) 276-3212
(814) 276-9253
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC003223L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010623490003
—
PA
Enumeration date
10/04/2006
Last updated
01/11/2017
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