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NPI Code Detail

MEDICARE: PARKER B MAH CHIROPRACTIC PC

MEDICARE: PARKER B MAH CHIROPRACTIC PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor3722OR

General Provider Information

NPI Number : 1780874503
Entity Type Code : Organization
Provider Name (Legal Business Name) : PARKER B MAH CHIROPRACTIC PC
Provider Business Mailing Address
First Line : 3150 S 6TH ST
Second Line :
City : KLAMATH FALLS
State : OR
Zip : 97603-4612
Country : US
Telephone Number : 541-273-5433
Fax Number : 541-850-2461
Provider Business Practice Location Address
First Line : 3150 S 6TH ST
Second Line :
City : KLAMATH FALLS
State : OR
Zip : 97603-4612
Country : US
Telephone Number : 541-273-5433
Fax Number : 541-850-2461
Authorized Official
Title or Position : OWNER/CEO
Name : DR. PARKER B MAH
Credential : D.C.
Telephone Number : 541-273-5433
Provider Enumeration Date : 07/27/2007
Last Update Date : 02/25/2015

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Directions to “PARKER B MAH CHIROPRACTIC PC ” Practice Location

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