Moore Chiropractic Pllc | |
6600 France Ave S Ste 206, Edina, MN 55435-1810 | |
(952) 926-7515 | |
(952) 926-8155 |
Full Name | Moore Chiropractic Pllc |
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Type | Facility |
Speciality | Chiropractor |
Location | 6600 France Ave S Ste 206, Edina, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083853410 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 5178 (Minnesota) | Secondary |
111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | David Benjamin Johnson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1679026033 PECOS PAC ID: 4183904055 Enrollment ID: I20161220001801 |
Mailing Address | Practice Location Address |
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Moore Chiropractic Pllc 6600 France Ave S Ste 206, Edina, MN 55435-1810 Ph: (952) 926-7515 | Moore Chiropractic Pllc 6600 France Ave S Ste 206, Edina, MN 55435-1810 Ph: (952) 926-7515 |
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