| Pure Life Chiropractic Pllc | |
|
8090 N 85th Way Ste 102, Scottsdale, AZ 85258-4344 | |
| (480) 744-6565 | |
| Not Available |
| Full Name | Pure Life Chiropractic Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 8090 N 85th Way Ste 102, Scottsdale, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710404843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 8632 (Arizona) | Primary |
| Provider Name | Moses Corbell |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1548787674 PECOS PAC ID: 9931474434 Enrollment ID: I20171110002725 |
| Mailing Address | Practice Location Address |
|---|---|
| Pure Life Chiropractic Pllc 8090 N 85th Way Ste 102, Scottsdale, AZ 85258-4344 Ph: (480) 744-6565 | Pure Life Chiropractic Pllc 8090 N 85th Way Ste 102, Scottsdale, AZ 85258-4344 Ph: (480) 744-6565 |
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