Organization
BRONSON CHIROPRACTIC CLINIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD FREDERICK BRONSON D.C. (OWNER)
(602) 789-1078
Entity
Organization
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
3217
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
525834
—
AZ
Enumeration date
05/08/2012
Last updated
05/08/2012
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