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Dr. Richard Gary Fried, DC
Chiropractor in Moline, Illinois
NPI 1710984174

Richard Gary Fried is a Chiropractor based in Moline, IL. Richard Gary Fried practices in Moline, IL and has the professional credentials of DC. The NPI Number for Richard Gary Fried is 1710984174 and holds a License No. 038005386 (Illinois).

The current practice location address for Richard Gary Fried is 1715 5Th Ave, Moline, IL and can be reached out via phone at 309-762-1050 and via fax at 309-762-1064.

Location: 1715 5Th Ave, Moline, IL, 61265-7911
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710984174
Provider Name
Richard Gary Fried
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1715 5Th Ave, Moline, IL, 61265-7911
Phone Number
309-762-1050
Fax Number
309-762-1064
Provider Enumeration Date
06/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
038005386 05 IL
institution
Provider Business Practice Location Address Details
Address
1715 5Th Ave
City
Moline
State
Illinois
Zip
61265-7911
Phone Number
309-762-1050
Fax Number
309-762-1064
person
Provider Business Mailing Address Details
Address
1715 5Th Ave
City
Moline
State
Illinois
Zip
61265-7911
Phone Number
309-762-1050
Fax Number
309-762-1064
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
038005386 (Illinois)
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.
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