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Organization

BADGER WEST CORPORATION

Active
Other names
ADVANCED BACK PAIN & INJURY CENTER
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAY DOUGLAS MCFARLANE D.C. (OWNER)
(602) 494-3037
Entity
Organization

Contact information

Practice address
11030 N TATUM BLVD STE 102, PHOENIX, AZ 85028-6073
(602) 494-3037
(602) 996-5274
Mailing address
11030 N TATUM BLVD STE 102, PHOENIX, AZ 85028-6073
(602) 494-3037
(602) 996-5274

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AZ0249180
BCBS OF ARIZONA
AZ
Enumeration date
03/21/2007
Last updated
09/30/2009
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