Organization
CACTUS CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY MARIE ELLIOTT (OFFICE MANAGER)
(623) 878-9388
Entity
Organization
Contact information
Practice address
7440 W CACTUS RD, A19, PEORIA, AZ 85381-9535
(623) 878-9388
(623) 878-9114
Mailing address
7440 W CACTUS RD, A19, PEORIA, AZ 85381-9535
(623) 878-9388
(623) 878-9114
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4094
AZ
Other
Enumeration date
10/16/2006
Last updated
12/05/2007
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