Organization
QUEENSGATE FAMILY CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAX WALLACE BRIDGE D.C. (OWNER/CHIROPRACTOR)
(509) 628-8897
Entity
Organization
Contact information
Practice address
2568 QUEENSGATE DR., RICHLAND, WA 99352
(509) 628-8897
(509) 628-8773
Mailing address
2568 QUEENSGATE DR., RICHLAND, WA 99352
(509) 628-8897
(509) 628-8773
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH60123090
WA
Other
Enumeration date
03/15/2010
Last updated
08/20/2010
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