Organization
CRESCENT CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL K HO LEM DC (PRESIDENT)
(602) 861-3339
Entity
Organization
Contact information
Practice address
9014 N 23RD AVE STE 8, PHOENIX, AZ 85021-2854
(602) 861-3339
(602) 861-3280
Mailing address
9014 N 23RD AVE STE 8, PHOENIX, AZ 85021-2854
(602) 861-3339
(602) 861-3280
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5492
AZ
Other
Enumeration date
09/23/2011
Last updated
10/06/2011
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