Organization
SOUTHPOINTE CHIROPRACTIC AND FITNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYSON THOMAS SWIGART DC (OWNER)
(724) 873-0700
Entity
Organization
Contact information
Practice address
673 MORGANZA RD STE 105, CANONSBURG, PA 15317-5715
(724) 873-0700
Mailing address
673 MORGANZA RD STE 105, CANONSBURG, PA 15317-5715
(724) 873-0700
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
DC007385L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001734932
—
PA
Enumeration date
03/21/2007
Last updated
02/12/2009
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