Family Chiropractic Center | |
5505 W Chandler Blvd, #3, Chandler, AZ 85226-3683 | |
(480) 756-2600 | |
(480) 704-2448 |
Full Name | Family Chiropractic Center |
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Type | Facility |
Speciality | Chiropractor |
Location | 5505 W Chandler Blvd, Chandler, Arizona |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366703175 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | ZDC5648 (Arizona) | Primary |
111NN0400X | Chiropractor - Neurology | ZDC5648 (Arizona) | Secondary |
Provider Name | Trevor S Berry |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1629067806 PECOS PAC ID: 0143249466 Enrollment ID: I20051116000421 |
Provider Name | Russell C Teames |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1932449568 PECOS PAC ID: 3173767720 Enrollment ID: I20130920000288 |
Mailing Address | Practice Location Address |
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Family Chiropractic Center 5505 W Chandler Blvd, #3, Chandler, AZ 85226-3683 Ph: (480) 756-2600 | Family Chiropractic Center 5505 W Chandler Blvd, #3, Chandler, AZ 85226-3683 Ph: (480) 756-2600 |
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