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Organization

TATUM POINT CHIROPRACTIC, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIEL ROY CHARNSTROM D.C. (CHIROPRACTOR)
(602) 788-7777
Entity
Organization

Contact information

Practice address
20622 N CAVE CREEK RD, #121, PHOENIX, AZ 85024-4452
(602) 788-7777
(602) 867-9185
Mailing address
P.O. BOX 71395, PHOENIX, AZ 85050
(602) 788-7777
(602) 867-9185

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5217
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0930360
BLUE CROSS/BLUE SHIELD
AZ
Enumeration date
08/05/2006
Last updated
08/26/2014
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