Individual
ARISTEO HERNANDEZ SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
210 W FLORENCE BLVD, CASA GRANDE, AZ 85222-3929
(520) 836-3579
(520) 836-7167
Mailing address
210 W FLORENCE BLVD, CASA GRANDE, AZ 85222-3929
(520) 836-3579
(520) 836-7167
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4362
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0233300
BCBS OF AZ
—
Enumeration date
10/24/2006
Last updated
07/08/2007
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