Organization
MYSTIC VALLEY CHIROPRACTIC OFFICE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM WAYNE GIROUARD D.C. (OWNER)
(781) 396-4226
Entity
Organization
Contact information
Practice address
92 HIGH ST, SUITE 41, MEDFORD, MA 02155-3850
(781) 396-4226
Mailing address
92 HIGH ST, SUITE 41, MEDFORD, MA 02155-3850
(781) 396-4226
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
907
MA
Other
Enumeration date
12/17/2008
Last updated
12/17/2008
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