Organization
CRENSHAW CHIROPRACTIC CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS CRENSHAW D.C. (OWNER/PRESIDENT)
(928) 634-3689
Entity
Organization
Contact information
Practice address
544 S 6TH ST, SUITE 105, COTTONWOOD, AZ 86326-6142
(928) 634-3689
(928) 634-7382
Mailing address
PO BOX 1681, COTTONWOOD, AZ 86326-1681
(928) 634-3689
(928) 634-7382
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
699
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0931150
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
07/12/2005
Last updated
04/12/2011
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