Dale E Mortenson DC PA

NPI #1952544413 in Lynn Haven, Florida

Provider Information

NPI Number
1952544413
Entity Type
Organization
Organization Name
Dale E Mortenson DC PA
Primary Specialty
Chiropractor
Enumeration Date
Apr 14, 2009
Last Updated
May 20, 2009

Practice Location

Address
1101 OHIO AVE
State
Florida
ZIP Code
32444-2554
Phone
(850) 265-6163

Authorized Official

Name
DALE E. MORTENSON, D.C.
Title
PRESIDENT
Phone
(850) 265-6163

Specialties & Taxonomy Codes

Specialty
Chiropractor

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