Organization
BOARDMAN FAMILY CHIROPRACTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN BOARDMAN D.C. (PRESIDENT)
(480) 704-1954
Entity
Organization
Contact information
Practice address
10235 S 51ST ST, #170, PHOENIX, AZ 85044-5218
(480) 704-1954
(480) 704-1663
Mailing address
10235 S 51ST ST, #170, PHOENIX, AZ 85044-5218
(480) 704-1954
(480) 704-1663
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5885
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE5137
RR MEDICARE
AZ
Enumeration date
08/24/2007
Last updated
12/28/2010
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