Individual
STEPHEN GILMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3830 W RUE DE LAMOUR AVE, PHOENIX, AZ 85029-1153
(602) 418-3766
(623) 516-8699
Mailing address
3830 W RUE DE LAMOUR AVE, PHOENIX, AZ 85029-1153
(602) 418-3766
(623) 516-8699
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7201
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0935150
BCBS PROVIDER NUMBER
AZ
Enumeration date
01/26/2007
Last updated
07/08/2007
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