Edward A. Madrid, Dc, PC

NPI #1063780104 in Laurel, Montana

Provider Information

NPI Number: 1063780104
Entity Type: Organization
Organization Name: Edward A. Madrid, Dc, PC
Primary Specialty: Chiropractor
Enumeration Date: Dec 5, 2011
Last Updated: Dec 5, 2011

Practice Location

Address: 104 E 1ST ST
City: Laurel
State: Montana
ZIP Code: 59044-3030
Phone: (406) 628-4622

Authorized Official

Name: DR. EDWARD MADRID, D.C.
Title: OWNER/PRESIDENT
Phone: (406) 628-4622

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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