Doctor Name: | DR. MARK G RIOMONDO |
NPI Number: | 1710203930 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | CH60136168 |
Business Practice Address: | 221 2nd St Suite 3 Langley, WA - 982600527 |
Business Phone Number: | 3602215141 |
Business Fax Number: | |
Mailing Address: | 9920 Briar Rd, Apt 308 BLOOMINGTON |
State: | MN |
Postal Code: | 554372268 |
Phone Number: | 9522397543 |
Fax Number: | |
NPI Enumeration Date: | 04/13/2010 |
NPI Last Update Date: | 04/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | CH60136168 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |