Organization
CHARLES T MCCRORY, DC MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES THOMAS MCCRORY DC, MD (OWNER)
(916) 780-2800
Entity
Organization
Contact information
Practice address
300 HARDING BLVD, SUITE 213, ROSEVILLE, CA 95678-2470
(916) 780-2800
Mailing address
300 HARDING BLVD, SUITE 213, ROSEVILLE, CA 95678-2470
(916) 780-2800
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC24046
CA
208D00000X
General Practice Physician
Primary
A066088
CA
Other
Enumeration date
08/01/2011
Last updated
08/01/2011
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