Individual
WAYNE HOWARD KOHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
15005 N 40TH LN, PHOENIX, AZ 85053-4511
(602) 374-2762
Mailing address
15005 N 40TH LN, PHOENIX, AZ 85053-4511
(602) 374-2762
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
38MC00391100
NJ
111N00000X
Chiropractor
Primary
7603
AZ
Other
Enumeration date
02/12/2007
Last updated
10/02/2009
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