| |
9971 W Camelback Rd Ste 105, Phoenix, AZ 85037-5011 | |
(623) 872-0002 | |
(623) 872-1112 |
Full Name | |
---|---|
Type | Facility |
Speciality | General Practice |
Location | 9971 W Camelback Rd Ste 105, Phoenix, Arizona |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437425980 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (Arizona) | Secondary |
208D00000X | General Practice | (Arizona) | Primary |
Mailing Address | Practice Location Address |
---|---|
4432 N Miller Rd Ste 102, Scottsdale, AZ 85251-3697 Ph: (480) 945-0008 | 9971 W Camelback Rd Ste 105, Phoenix, AZ 85037-5011 Ph: (623) 872-0002 |