Individual
MARJORIE HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
6006 N 83RD AVE, GLENDALE, AZ 85303-4119
(623) 872-9232
Mailing address
6006 N 83RD AVE, GLENDALE, AZ 85303-4119
(623) 872-9232
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6055
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0930870
BCBS OF AZ PROVIDER #
AZ
Enumeration date
08/13/2006
Last updated
07/08/2007
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