Splitrock Chiropractic Center, LLC

NPI #1497925069 in Brandon, South Dakota

Provider Information

NPI Number: 1497925069
Entity Type: Organization
Organization Name: Splitrock Chiropractic Center, LLC
Primary Specialty: Chiropractor - Radiology
Enumeration Date: Mar 10, 2008
Last Updated: Sep 24, 2008

Practice Location

Address: 314 S SPLITROCK BLVD
Address 2: #1
City: Brandon
State: South Dakota
ZIP Code: 57005-1679
Phone: (605) 582-8825

Authorized Official

Name: DR. BEN AXEL SIMONSON, DC
Title: PRESIDENT
Phone: (605) 582-8825

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor - Radiology — Radiology	111NR0200X	Primary

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