Organization
ACTIVE WELLNESS CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN LUEDKE DC (OWNER)
(319) 427-0003
Entity
Organization
Contact information
Practice address
1920 N SCOTTSDALE RD, SCOTTSDALE, AZ 85257-2119
(480) 994-0072
Mailing address
1920 N SCOTTSDALE RD, SCOTTSDALE, AZ 85257-2119
(480) 994-0072
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8565
AZ
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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