Individual
JOHN R DIMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
OLD RTE 66 & HILL STREET, # 200, MC GRANN, PA 16236-0200
(724) 763-8000
(724) 763-8007
Mailing address
OLD RTE 66 & HILL STREET, BOX 200, MC GRANN, PA 16236-0200
(724) 763-8000
(724) 763-8007
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC001391L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006346830002
—
PA
Enumeration date
07/08/2005
Last updated
01/09/2008
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