Organization
FIFTH STREET CHIROPRACTIC CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT ANDREW BENTSON SR. D.C. (OWNER)
(520) 747-2724
Entity
Organization
Contact information
Practice address
5602 E 5TH ST, TUCSON, AZ 85711-2449
(520) 747-2724
(520) 747-5845
Mailing address
5602 E 5TH ST, TUCSON, AZ 85711-2449
(520) 747-2724
(520) 747-5845
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3764
AZ
Other
Enumeration date
09/10/2012
Last updated
09/10/2012
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