Dakota Spine and Sport

NPI #1205150612 in Fargo, North Dakota

Provider Information

NPI Number
1205150612
Entity Type
Organization
Organization Name
Dakota Spine and Sport
Primary Specialty
Chiropractor
Enumeration Date
Mar 15, 2010
Last Updated
Jul 2, 2010

Practice Location

Address
300 45TH ST S
Address 2
#315
City
Fargo
ZIP Code
58103-1189
Phone
(701) 893-7877

Authorized Official

Name
LEIGHTON MOHL, D.C.
Title
PRESIDENT
Phone
(701) 318-4928

Specialties & Taxonomy Codes

Specialty
Chiropractor

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