Organization
CHIROPRACTIC FITNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS BIRT CHANDLER D.C. (OWNER, CHIROPRACTOR)
(928) 778-6200
Entity
Organization
Contact information
Practice address
809 GAIL GARDNER WAY STE B, PRESCOTT, AZ 86305-1801
(928) 778-6200
(928) 778-9034
Mailing address
9870 S 46TH ST, PHOENIX, AZ 85044-5533
(928) 778-6200
(928) 778-9034
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7082
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0938370
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
10/13/2006
Last updated
08/22/2020
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