Individual
MARK JOSEPH KLINGERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
16816 N 35 AVE, STE 8, PHOENIX, AZ 85053-2801
(602) 843-3788
(602) 843-6485
Mailing address
16319 N 36 AVE, PHOENIX, AZ 85053
(602) 978-0506
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3372
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0085620
BCBS
AZ
Enumeration date
02/21/2006
Last updated
07/21/2010
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