Custom Chiropractic & Wellness Clinic LLC

NPI #1134565302 in Medford, Oregon

Provider Information

NPI Number: 1134565302
Entity Type: Organization
Organization Name: Custom Chiropractic & Wellness Clinic LLC
Primary Specialty: Chiropractor
Enumeration Date: May 15, 2013
Last Updated: May 15, 2013

Practice Location

Address: 1910 E BARNETT RD
Address 2: STE #103
City: Medford
State: Oregon
ZIP Code: 97504-8672
Phone: (541) 245-9544

Authorized Official

Name: DR. JOSHUA DAVID FINE, D.C.
Title: OWNER/OPERATOR
Phone: (541) 245-9544

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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