Donald R. Selvidge, D.C.

NPI #1366527210 in Mattoon, Illinois

Provider Information

NPI Number: 1366527210
Entity Type: Individual
Name: Donald R. Selvidge, D.C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Oct 26, 2006
Last Updated: Nov 20, 2007

Practice Location

Address: 608 BROADWAY AVE
City: Mattoon
State: Illinois
ZIP Code: 61938-4321
Phone: (217) 235-4664

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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