Organization
AZ LIFESTYLE CHIROPRACTIC CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROBIN MCMAHAN (MANAGER)
(602) 723-1494
Entity
Organization
Contact information
Practice address
14155 N 83RD AVE STE 102, PEORIA, AZ 85381-5640
(623) 878-0475
(623) 878-0640
Mailing address
14155 N 83RD AVE STE 102, PEORIA, AZ 85381-5640
(623) 878-0475
(623) 878-0640
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC5016
AZ
111NN1001X
Nutrition Chiropractor
DC5016
AZ
Other
Enumeration date
06/11/2017
Last updated
07/21/2022
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