Health Source of Great Bend INC

NPI #1770766958 in Great Bend, Pennsylvania

Provider Information

NPI Number: 1770766958
Entity Type: Organization
Organization Name: Health Source of Great Bend INC
Primary Specialty: Chiropractor
Enumeration Date: Dec 11, 2007
Last Updated: Sep 16, 2013

Practice Location

Address: 325 MAIN ST
City: Great Bend
State: Pennsylvania
ZIP Code: 18821-9753
Phone: (570) 879-2979

Authorized Official

Name: DR. GEORGE H STOVER III, DC
Title: OWNER
Phone: (570) 879-2979

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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