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Individual

DR. CHRISTOPHER J COLLOCA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
11011 S 48TH ST, STE 220, PHOENIX, AZ 85044-1779
(480) 893-2400
(480) 893-2412
Mailing address
11011 S 48TH ST, STE 220, PHOENIX, AZ 85044-1779
(480) 893-2400
(480) 893-2412

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5609
AZ
111N00000X
Chiropractor
8032
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AZ0244150
BLUE CROSS BLUE SHEILD
AZ
Enumeration date
01/08/2007
Last updated
07/08/2007
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