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Organization
PREMIER CHIRO PC
Active
Organization
PREMIER CHIRO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD WAXMAN (OWNER)
(602) 515-1068
Entity
Organization
Contact information
Practice address
4353 S KEDZIE AVE, CHICAGO, IL 60632-2841
(773) 927-1885
(773) 927-1886
Mailing address
809 E WASHINGTON ST, SUITE 204, PHOENIX, AZ 85034-1052
(602) 321-7049
(602) 253-0457
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
06/15/2009
Last updated
02/16/2011
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