Organization
PURA VIDA CHIROPRACTIC, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY RYAN BRADFORD D.C. (OWNER)
(480) 963-5832
Entity
Organization
Contact information
Practice address
574 N ARIZONA AVE, CHANDLER, AZ 85225-4589
(480) 963-5832
Mailing address
574 N ARIZONA AVE, CHANDLER, AZ 85225-4589
(480) 963-5832
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
7935
AZ
Other
Enumeration date
07/25/2008
Last updated
03/05/2009
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