Jeffrey Ward Frost, DC | |
16620 N 40th St Ste G2, Phoenix, AZ 85032-3351 | |
(602) 992-2656 | |
(602) 992-2238 |
Full Name | Jeffrey Ward Frost |
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Gender | Male |
Speciality | Chiropractor |
Location | 16620 N 40th St Ste G2, 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 |
---|---|---|---|
1215081120 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 8497 (Arizona) | Primary |
Provider Name | Az Regenerative Medicne |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1609408194 PECOS PAC ID: 7517397284 Enrollment ID: O20200420003122 |
Mailing Address | Practice Location Address |
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Jeffrey Ward Frost, DC 16620 N 40th St Ste G2, Phoenix, AZ 85032-3351 Ph: (602) 992-2656 | Jeffrey Ward Frost, DC 16620 N 40th St Ste G2, Phoenix, AZ 85032-3351 Ph: (602) 992-2656 |
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