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Organization

JEFFREY A. TRINKA, P.C.

Active
Parent organization
JEFFREY A. TRINKA, P.C.
Other names
Goodyear Chiropractic Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
JEFFREY A. TRINKA, P.C.
Authorized official
MRS. SARA K HAGGETT AA, CMBS,CA (G.M.)
(623) 932-4060
Entity
Organization

Contact information

Practice address
11 W. VAN BUREN ST, SUITE 28, AVONDALE, AZ 85323
(623) 932-4060
(623) 932-4417
Mailing address
11 W VAN BUREN ST, SUITE 28, AVONDALE, AZ 85323
(623) 932-4060
(623) 932-4417

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5906
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AZ0932530
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
09/22/2008
Last updated
05/13/2009
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