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Organization

ADVANCED BACK AND NECK CARE OF OCOTILLO, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PHIL GULDE (MGR)
(480) 814-7115
Entity
Organization

Contact information

Practice address
1055 W QUEEN CREEK RD, #3, CHANDLER, AZ 85248-8134
(480) 814-7115
(480) 814-7792
Mailing address
1055 W QUEEN CREEK RD, #3, CHANDLER, AZ 85248-8134
(480) 814-7115
(480) 814-7792

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
208VP0014X
Interventional Pain Medicine Physician
Primary
225100000X
Physical Therapist

Other

Enumeration date
07/08/2006
Last updated
01/07/2015
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