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Individual

BRUCE DANIEL HOMSEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
5654 W BELL RD, SUITE A, GLENDALE, AZ 85308-3882
(602) 843-2730
Mailing address
5654 W BELL RD, SUITE A, GLENDALE, AZ 85308-3882
(602) 843-2730

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4708
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AZ0244500
BLUE CROSS & BLUE SHIELD
AZ
Enumeration date
09/21/2006
Last updated
07/08/2007
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