Individual
EDWARD A MADRID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
18631 N 19TH AVE, SUITE 152, PHOENIX, AZ 85027-5299
(602) 789-1078
(623) 582-0997
Mailing address
18631 N 19TH AVE, SUITE 152, PHOENIX, AZ 85027-5299
(602) 789-1078
(623) 582-0997
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8560
AZ
Other
Enumeration date
11/21/2006
Last updated
09/29/2016
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