Organization
RIVER STREET SPINE CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN MARK WARNOCK D.C. (OWNER AND CEO)
(617) 298-1776
Entity
Organization
Contact information
Practice address
500 RIVER ST, MATTAPAN, MA 02126-2211
(617) 298-1776
(617) 298-7366
Mailing address
500 RIVER ST, MATTAPAN, MA 02126-2211
(617) 298-1776
(617) 298-7366
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2765
MA
Other
Enumeration date
02/05/2007
Last updated
08/22/2020
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