Organization
ADVANCED CHIROPRACTIC & WELLNESS CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES ATKINSON (OWNER)
(623) 878-5991
Entity
Organization
Contact information
Practice address
5730 W PEORIA AVE, GLENDALE, AZ 85302-1423
(623) 878-5991
Mailing address
PO BOX 5325, GLENDALE, AZ 85312-5325
(623) 334-9200
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
AZ 6018
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0939570
BCBS OF AZ
AZ
Enumeration date
08/19/2006
Last updated
03/06/2008
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