Organization
MIND & BODY - CLINICAL & CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT LANGE DC (OWNER)
(623) 523-9642
Entity
Organization
Contact information
Practice address
5870 W THUNDERBIRD RD STE A7, GLENDALE, AZ 85306-4657
(602) 730-2665
Mailing address
14786 W ALEXANDRIA WAY, SURPRISE, AZ 85379-4232
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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