Organization
BACK 2 LIFE HEALTH CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHAWN RENEE DODD (PRESIDENT)
(661) 322-7500
Entity
Organization
Contact information
Practice address
117 E. 2ND STREET, CASA GRANDE, AZ 85222
(520) 421-9552
(520) 421-9553
Mailing address
2821 H STREET, BAKERSFIELD, CA 93301
(661) 322-7500
(661) 322-7510
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7417
AZ
Other
Enumeration date
07/05/2006
Last updated
08/22/2020
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