Organization
COUNTRY CLUB CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALVIN SANDERS SANDERS D.C. (SOLE MEMBER PRACTICING PHYSICIAN)
(480) 834-1700
Entity
Organization
Contact information
Practice address
1140 S COUNTRY CLUB DR, SUITE 111-B, MESA, AZ 85210-4649
(480) 834-1700
(480) 834-1200
Mailing address
1140 S COUNTRY CLUB DR, SUITE 111-B, MESA, AZ 85210-4649
(480) 834-1700
(480) 834-1200
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5551
AZ
Other
Enumeration date
11/06/2006
Last updated
08/22/2020
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