Organization
PROSPINE, LLC
Active
Organization
PROSPINE, LLC
Active
Other names
canyon chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DYLAN FOSTER D.C. (OWNER)
(602) 866-3500
Entity
Organization
Contact information
Practice address
1107 E BELL RD, SUITE 14, PHOENIX, AZ 85022-2691
(602) 866-3500
(602) 866-3510
Mailing address
1107 E BELL RD, SUITE 14, PHOENIX, AZ 85022-2691
(602) 866-3500
(602) 866-3510
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
5775
AZ
Other
Enumeration date
06/26/2007
Last updated
08/22/2020
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