| Clouse Chiropractic Clinic Llc | |
|
437 S Gilbert Rd Ste 14 Mesa AZ 85204-2866 | |
| (480) 834-9000 | |
| (480) 834-1880 |
| Full Name | Clouse Chiropractic Clinic Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 437 S Gilbert Rd Ste 14, Mesa, Arizona |
| Authorized Official Name and Position | Russell Leroy Clouse (PRESIDENT/CEO) |
| Authorized Official Contact | 4808349000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clouse Chiropractic Clinic Llc 437 S Gilbert Rd Ste 14 Mesa AZ 85204-2866 Ph: (480) 834-9000 | Clouse Chiropractic Clinic Llc 437 S Gilbert Rd Ste 14 Mesa AZ 85204-2866 Ph: (480) 834-9000 |
| NPI Number | 1942481379 |
|---|---|
| Provider Enumeration Date | 11/14/2007 |
| Last Update Date | 11/14/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942481379 | NPI | - | NPPES |
| AZ0943720 | Other | AZ | BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 4560 (Arizona) | Primary |
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