Southpark Chiropractic Wellness Center, LLC

NPI #1972893121 in Moline, Illinois

Provider Information

NPI Number
1972893121
Entity Type
Organization
Organization Name
Southpark Chiropractic Wellness Center, LLC
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Apr 8, 2011
Last Updated
Apr 8, 2011

Practice Location

Address
1529 46TH AVE
Address 2
SUITE 4
City
Moline
ZIP Code
61265-7084
Phone
(309) 757-7100

Authorized Official

Name
LEE FIXEN, D.C.
Title
OWNER
Phone
(309) 757-7100

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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