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Individual

DR. KIRK WILLIAMS VAN METRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
13754 W BELL RD, SUITE 2, SURPRISE, AZ 85374-3879
(623) 209-2225
(623) 584-2311
Mailing address
13754 W BELL RD, SUITE 2, SURPRISE, AZ 85374-3879
(623) 209-2225
(623) 584-2311

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5930
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AZ0932950
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
04/20/2006
Last updated
01/21/2010
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