Individual
DR. GLENN KEITH AZZARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
12015 N SAGUARO BLVD, SUITE 103, FOUNTAIN HILLS, AZ 85268-4680
(480) 836-0800
(480) 816-8886
Mailing address
12015 N SAGUARO BLVD, SUITE 103, FOUNTAIN HILLS, AZ 85268-4680
(480) 836-0800
(480) 816-8886
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5517
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0242170
BCBS
AZ
Enumeration date
12/11/2006
Last updated
12/11/2007
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