Inice Gough DC PC

NPI #1275523268 in Sisters, Oregon

Provider Information

NPI Number: 1275523268
Entity Type: Organization
Organization Name: Inice Gough DC PC
Primary Specialty: Chiropractor
Enumeration Date: Oct 21, 2005
Last Updated: Dec 10, 2012

Practice Location

Address: 270 S SPRUCE
City: Sisters
State: Oregon
ZIP Code: 97759
Phone: (541) 549-3583

Authorized Official

Name: DR. INICE D GOUGH, DC
Title: PRESIDENT
Phone: (541) 549-3583

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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Ponderosa Family Chiropractic	Chiropractor	Sisters	AI Deep Dive

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