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Individual

MR. ROGER EDWARD COMBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
4323 W CACTUS ROAD, #15, GLENDALE, AZ 85304
(602) 547-9177
(602) 547-9706
Mailing address
4323 W CACTUS ROAD, #15, GLENDALE, AZ 85304
(602) 547-9177
(602) 547-9706

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
282560
OR
111N00000X
Chiropractor
305CH1
MT
111N00000X
Chiropractor
Primary
4793
AZ
111N00000X
Chiropractor
CH11499
ID

Other

Enumeration date
05/05/2006
Last updated
07/08/2007
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