Individual
CHARLES RAYMOND RUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
725 E BROADWAY RD, MESA, AZ 85204-2025
(480) 964-4652
Mailing address
725 E BROADWAY RD, MESA, AZ 85204-2025
(480) 964-4652
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8140
AZ
Other
Enumeration date
10/19/2010
Last updated
10/19/2010
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