Organization
RUDDELL CHIROPRACTIC CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TY S RUDDELL D.C. (PRESIDENT)
(480) 558-1900
Entity
Organization
Contact information
Practice address
4864 E BASELINE RD, STE 105, MESA, AZ 85206-4629
(480) 558-1900
(480) 633-6086
Mailing address
4864 E BASELINE RD, SUITE 105, MESA, AZ 85206-4629
(480) 558-1900
(480) 633-6086
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6023
AZ
Other
Enumeration date
12/10/2008
Last updated
04/27/2009
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