Madera Chiropractic PLLC
Chiropractor in Green Valley, AZ. Organization (NPI-2).
NPI number1841815552
StatusActive
Last updated in NPPESJun 9, 2020
Details
- NPI
- 1841815552
- Entity type
- Organization (NPI-2)
- Legal business name
- Madera Chiropractic PLLC
- Organization subpart
- No
- Enumeration date
- Jun 9, 2020
- Certification date
- Jun 9, 2020
- Last updated
- Jun 9, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | – | – | Yes |
Practice location
560 E Continental Rd Unit 102Green Valley, AZ 85614-1825
Phone 520-849-5706
Mailing address
560 E Continental Rd Unit 102Green Valley, AZ 85614-1825
Authorized official
James Dever
Owner
4805586106
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