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Organization

SYNERGISTIC WELLNESS SOLUTIONS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK DAVID FELLER D.C. (CHIROPRACTOR/OWNER)
(623) 878-3100
Entity
Organization

Contact information

Practice address
7200 W BELL RD, SUITE G-104, GLENDALE, AZ 85308-8529
(623) 878-3100
(623) 878-2932
Mailing address
7200 W BELL RD, SUITE G-104, GLENDALE, AZ 85308-8529
(623) 878-3100
(623) 878-2932

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7451
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AZ0158930
TEMPORARY BC/BS PROVIDER
AZ
Enumeration date
06/25/2006
Last updated
08/22/2020
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