Organization
ANDC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY FRANK MARTIN DC (OWNER)
(928) 522-8459
Entity
Organization
Contact information
Practice address
1500 E CEDAR AVE STE 80, FLAGSTAFF, AZ 86004-1644
(928) 522-8459
Mailing address
40116 N INTEGRITY TRL, ANTHEM, AZ 85086-6015
(928) 522-8459
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
B5518
AZ
Other
Enumeration date
03/13/2007
Last updated
08/22/2020
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