| Aspen Rae Llc | |
|
21681 N 77th Ave, Suite 1415, Peoria, AZ 85382-2132 | |
| (623) 572-9200 | |
| (623) 572-9204 |
| Full Name | Aspen Rae Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Rehabilitation |
| Location | 21681 N 77th Ave, Peoria, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659694156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NR0400X | Chiropractor - Rehabilitation | 7250 (Arizona) | Primary |
| 207QA0000X | Family Medicine - Adolescent Medicine | 2747 (Arizona) | Secondary |
| Provider Name | Shane A Mccall |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1912933227 PECOS PAC ID: 5991805798 Enrollment ID: I20070710000042 |
| Provider Name | Bryan R Glick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164620308 PECOS PAC ID: 2365624137 Enrollment ID: I20110315001022 |
| Mailing Address | Practice Location Address |
|---|---|
| Aspen Rae Llc 21681 N 77th Ave, Suite 1415, Peoria, AZ 85382-2132 Ph: (623) 572-9200 | Aspen Rae Llc 21681 N 77th Ave, Suite 1415, Peoria, AZ 85382-2132 Ph: (623) 572-9200 |
Dr. Cody Michael Ghents, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 24700 N 67th Ave, Peoria, AZ 85383 Phone: 623-259-3458 | |
Cactus Chiropractic Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 7440 W Cactus Rd, A19, Peoria, AZ 85381 Phone: 623-878-9388 Fax: 623-878-9114 | |
Nicole Renee Maddox, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 15256 N 75th Ave Ste 360, Peoria, AZ 85381 Phone: 623-486-2424 Fax: 623-486-4324 | |
Lori Fininis, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 8440 W Thunderbird Rd, Peoria, AZ 85381 Phone: 602-247-8626 Fax: 602-247-8646 | |
Dr. Bradley Green Matson, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 7226 W Columbine Dr, Peoria, AZ 85381 Phone: 602-809-6781 Fax: 602-235-2035 | |
Dr. Stockton Butterfield, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 6750 W Thunderbird Rd, Peoria, AZ 85381 Phone: 602-368-1333 | |
Pierce West Waychoff, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 15256 N 75th Ave Ste 360, Peoria, AZ 85381 Phone: 623-486-2424 |