Organization
PREMIER CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY WAXMAN (OWNER)
(623) 931-2978
Entity
Organization
Contact information
Practice address
8811 N 51ST AVE, SUITE 106, GLENDALE, AZ 85302-4949
(623) 931-2978
Mailing address
8811 N 51ST AVE, SUITE 106, GLENDALE, AZ 85302-4949
(623) 931-2978
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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