Evolve Chiropractic Pllc

NPI #1992159701 in Mountainhome, Pennsylvania

Provider Information

NPI Number: 1992159701
Entity Type: Organization
Organization Name: Evolve Chiropractic Pllc
Primary Specialty: Chiropractor
Enumeration Date: Apr 18, 2016
Last Updated: Apr 18, 2016

Practice Location

Address: 1101 ROUTE 390
Address 2: SUITE 3
City: Mountainhome
State: Pennsylvania
ZIP Code: 18342
Phone: (570) 856-1242

Authorized Official

Name: DR. DEREK E GORMAN, D.C.
Title: CHIROPRACTOR
Phone: (570) 856-1242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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