Eric Dallman, DC | |
7141 W Thomas Rd Ste 100, Phoenix, AZ 85033-5518 | |
(480) 447-8773 | |
Not Available |
Full Name | Eric Dallman |
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Gender | Male |
Speciality | Chiropractor |
Location | 7141 W Thomas Rd Ste 100, Phoenix, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467159491 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 9242 (Arizona) | Primary |
Provider Name | Optimal Spine & Health Center Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1386835965 PECOS PAC ID: 2466487392 Enrollment ID: O20050929000553 |
Mailing Address | Practice Location Address |
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Eric Dallman, DC 5010 E Cheyenne Dr Apt 1077, Phoenix, AZ 85044-1773 Ph: () - | Eric Dallman, DC 7141 W Thomas Rd Ste 100, Phoenix, AZ 85033-5518 Ph: (480) 447-8773 |
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