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Individual

DOUGLAS OPIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
110 S MESA DR, #4, MESA, AZ 85210-1458
(480) 833-8863
(480) 464-5516
Mailing address
110 S MESA DR, #4, MESA, AZ 85210-1458
(480) 833-8863
(480) 464-5516

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3686
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
543919001
AZ
01
AY4433
HEALTH NET
AZ
01
AZ00082250
AZ BLUE SHIELD
AZ
Enumeration date
03/29/2006
Last updated
05/20/2008
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