Crescent Chiropractic Pc | |
9014 N 23rd Ave Ste 8, Phoenix, AZ 85021-2854 | |
(602) 861-3339 | |
(602) 861-3280 |
Full Name | Crescent Chiropractic Pc |
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Type | Facility |
Speciality | Chiropractor |
Location | 9014 N 23rd Ave Ste 8, Phoenix, Arizona |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013290261 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 5492 (Arizona) | Primary |
Provider Name | Russell K Ho Lem |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1548295025 PECOS PAC ID: 8426076290 Enrollment ID: I20051110000127 |
Mailing Address | Practice Location Address |
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Crescent Chiropractic Pc 9014 N 23rd Ave Ste 8, Phoenix, AZ 85021-2854 Ph: (602) 861-3339 | Crescent Chiropractic Pc 9014 N 23rd Ave Ste 8, Phoenix, AZ 85021-2854 Ph: (602) 861-3339 |
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