Organization
SCHMIDT FAMILY CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE SCHMIDT D.C. (PRESIDENT)
(623) 842-1261
Entity
Organization
Contact information
Practice address
4494 W PEORIA AVE STE 116, GLENDALE, AZ 85302-2025
(623) 842-1261
(623) 334-0182
Mailing address
4494 W PEORIA AVE STE 116, GLENDALE, AZ 85302-2025
(623) 842-1261
(623) 334-0182
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5951
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0935120
BCBS OF ARIZONA
AZ
Enumeration date
07/18/2006
Last updated
01/08/2010
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