Dynamic Spine and Joint Center LLC

NPI #1578860664 in Granite City, Illinois

Provider Information

NPI Number: 1578860664
Entity Type: Organization
Organization Name: Dynamic Spine and Joint Center LLC
Primary Specialty: Chiropractor
Enumeration Date: Feb 25, 2011
Last Updated: Mar 11, 2011

Practice Location

Address: 4917 MARYVILLE RD
City: Granite City
State: Illinois
ZIP Code: 62040-2644
Phone: (618) 219-5344

Authorized Official

Name: DR. ROSS TYLER, DC
Title: PRESIDENT
Phone: (618) 219-5344

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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