Organization
WIDMAIER CHIROPRACTIC
Active
Organization
WIDMAIER CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL S WIDMAIER DC (PRESIDENT)
(602) 954-6200
Entity
Organization
Contact information
Practice address
5080 N 40TH ST STE 104, PHOENIX, AZ 85018-2158
(602) 954-6200
(602) 956-1582
Mailing address
5080 N 40TH ST STE 104, PHOENIX, AZ 85018-2158
(602) 954-6200
(602) 956-1582
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
4220
AZ
Other
Enumeration date
09/26/2012
Last updated
02/18/2021
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