John P Degenhart

NPI #1306857602 in Hazleton, Pennsylvania

Provider Information

NPI Number: 1306857602
Entity Type: Organization
Organization Name: John P Degenhart
Primary Specialty: Chiropractor
Enumeration Date: Aug 11, 2006
Last Updated: Feb 12, 2013

Practice Location

Address: 1749 E BROAD ST
City: Hazleton
State: Pennsylvania
ZIP Code: 18201-5650
Phone: (570) 454-2474

Authorized Official

Name: JOHN P DEGENHART
Title: OWNER
Phone: (570) 454-2474

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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