Organization
DINE HEALTHCARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS KIRSTEN D.C. (PRESIDENT)
(928) 871-3556
Entity
Organization
Contact information
Practice address
HIGHWAY 264 ROUTE 12, SUITE 11, WINDOW ROCK, AZ 86515
(928) 871-3556
(928) 871-3559
Mailing address
PO BOX 666, WINDOW ROCK, AZ 86515
(928) 871-3556
(928) 871-3559
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3914
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13499
HMA
AZ
01
—
AZ0937390
BC/BS
AZ
Enumeration date
04/29/2008
Last updated
04/29/2008
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