Organization
HUMPHREYS STREET CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL W DAHL D.C. (OWNER PRIMARY HEALTHCARE PROVIDER)
(928) 774-6601
Entity
Organization
Contact information
Practice address
421 N HUMPHREYS ST, FLAGSTAFF, AZ 86001-4531
(928) 774-6601
(928) 774-2193
Mailing address
421 N HUMPHREYS ST, FLAGSTAFF, AZ 86001-4531
(928) 774-6601
(928) 774-2193
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0762
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0244550
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
05/09/2007
Last updated
04/26/2011
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