Organization
SOUTHWEST CHIROMED BUCKEYE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KETCHUM DC (OWNER)
(702) 292-2225
Entity
Organization
Contact information
Practice address
305 N 4TH ST, BUCKEYE, AZ 85326-2405
(623) 393-8767
Mailing address
305 N 4TH ST, BUCKEYE, AZ 85326-2405
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/02/2023
Last updated
12/27/2023
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