Bronson Chiropractic Clinic P.c.

NPI 1063771368 - Chiropractor - 111N00000X

NPI Details
NPI 1063771368
Enumeration Date 05/08/2012
Last Updated 05/08/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name RICHARD FREDERICK RICHARD
Position OWNER
Phone (602) 789-1078
Fax (623) 582-0997
Practice Location
18631 N 19TH AVE
SUITE 152
PHOENIX AZ, 85027-5299, US
Phone (602) 789-1078
Fax (623) 582-0997
Business Location
18631 N 19TH AVE
SUITE 152
PHOENIX AZ, 85027-5299, US
Phone (602) 789-1078
Fax (623) 582-0997
Toxanomy
Taxonomy Code 111N00000X
License State Arizona
License Number 3217
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According to our database, Bronson Chiropractic Clinic P.c. NPI is 1063771368, taxonomy code is 111N00000X and license number is 3217, license state is located at Arizona. Bronson Chiropractic Clinic P.c. physically located at 18631 N 19th Ave, Phoenix AZ, 85027-5299. NPI Number 1033115704 has the healthcare provider type.

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1063771368 NPI number is provided on an as is basis without warranty of any kind. 1063771368 is maintained by the National Plan & Provider Enumeration System. The contents of Bronson Chiropractic Clinic P.c. are for informational purposes only.