Organization
CHIRONUTRICISE, LLC.
Active
Other names
Hatlen Family Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY CARL HATLEN D.C. (OWNER)
(602) 443-4423
Entity
Organization
Contact information
Practice address
3842 E THUNDERBIRD RD, SUITE 200, PHOENIX, AZ 85032-5768
(602) 443-4423
(602) 765-1788
Mailing address
3842 E THUNDERBIRD RD, SUITE 200, PHOENIX, AZ 85032-5768
(602) 443-4423
(602) 765-1788
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4568
AZ
Other
Enumeration date
07/05/2006
Last updated
08/22/2020
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