Organization
COMPASS CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON R CONWAY DC (CHIROPRACTOR)
(602) 840-9455
Entity
Organization
Contact information
Practice address
4422 E INDIAN SCHOOL RD, PHOENIX, AZ 85018-5442
(602) 840-9455
(602) 840-9461
Mailing address
4422 E INDIAN SCHOOL RD, STE B, PHOENIX, AZ 85018-5442
(602) 840-9455
(602) 840-9461
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8011
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3784
PHYSIO LICENSE
AZ
01
—
8011
LICENSE NO
AZ
01
—
AZ0937301
BCBS PROVIDER NO
AZ
Enumeration date
01/26/2007
Last updated
02/01/2008
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