Organization
EVOLVE CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREK E GORMAN D.C. (CHIROPRACTOR)
(570) 856-1242
Entity
Organization
Contact information
Practice address
1101 ROUTE 390, SUITE 3, MOUNTAINHOME, PA 18342
(570) 856-1242
Mailing address
211 KRUMMEL LN, CRESCO, PA 18326-7051
(570) 856-1242
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC011126
PA
Other
Enumeration date
04/18/2016
Last updated
04/18/2016
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