Organization
BIG IDEA CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAY LARSON DC (ORGANIZER)
(651) 400-7777
Entity
Organization
Contact information
Practice address
7815 3RD ST N STE 102, OAKDALE, MN 55128-5443
(651) 400-7777
Mailing address
7815 3RD ST N STE 102, OAKDALE, MN 55128-5443
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6458
MN
Other
Enumeration date
01/22/2018
Last updated
01/22/2018
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