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Individual

DR. PATRICK DARIN CHIAVAROLI

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
4646 E GREENWAY RD, SUITE 104, PHOENIX, AZ 85032-4805
(602) 867-1444
(602) 867-7255
Mailing address
4646 E GREENWAY RD, SUITE 104, PHOENIX, AZ 85032-4805
(602) 867-1444
(602) 867-7255

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
5738
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AZ0245430
BCBS PROVIDER #
AZ
Enumeration date
04/10/2006
Last updated
07/08/2007
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