Organization
YJP SPINE CENTER LLC
Active
Other names
The Back Center Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
YUNJAE PARK (PRESIDENT)
(224) 628-0733
Entity
Organization
Contact information
Practice address
4920 W THUNDERBIRD RD STE 112, GLENDALE, AZ 85306-4906
(623) 487-3444
Mailing address
4920 W THUNDERBIRD RD STE 112, GLENDALE, AZ 85306-4906
(623) 487-3444
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/01/2020
Last updated
11/19/2020
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