Life Clinic Of Az Pc | |
2580 E Camelback Rd, Phoenix, AZ 85016-4204 | |
(952) 229-7464 | |
Not Available |
Full Name | Life Clinic Of Az Pc |
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Type | Facility |
Speciality | Chiropractor |
Location | 2580 E Camelback Rd, 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 |
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1750931267 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
Provider Name | Majera T Majidi |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1619951159 PECOS PAC ID: 5698756062 Enrollment ID: I20040602000177 |
Provider Name | Andrew Arthur Moore |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1831767219 PECOS PAC ID: 0345645933 Enrollment ID: I20210819002122 |
Provider Name | Juan Alvarez |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1649933722 PECOS PAC ID: 1153719307 Enrollment ID: I20220117000651 |
Provider Name | Cody Michael Ghents |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1003540519 PECOS PAC ID: 7911371869 Enrollment ID: I20230316001753 |
Provider Name | Ronald G Vaughn |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1205048741 PECOS PAC ID: 1456790260 Enrollment ID: I20240412001984 |
Mailing Address | Practice Location Address |
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Life Clinic Of Az Pc Po Box 549, Chanhassen, MN 55317-0549 Ph: () - | Life Clinic Of Az Pc 2580 E Camelback Rd, Phoenix, AZ 85016-4204 Ph: (952) 229-7464 |
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