Mount Vernon Chiropractic, Inc., P.s.

NPI #1932396652 in Mount Vernon, Washington

Provider Information

NPI Number: 1932396652
Entity Type: Organization
Organization Name: Mount Vernon Chiropractic, Inc., P.s.
Primary Specialty: Chiropractor
Enumeration Date: Sep 26, 2007
Last Updated: Oct 22, 2007

Practice Location

Address: 1600 ROOSEVELT AVE
Address 2: SUITE A
City: Mount Vernon
State: Washington
ZIP Code: 98273-2646
Phone: (360) 428-0304

Authorized Official

Name: DR. PETER JOSEPH FOCHESATO, D.C.
Title: PRESIDENT
Phone: (360) 428-0304

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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