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Organization

DIVISION STREET CHIROPRACTIC, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. PATRICIA ELLEN DICKISON (BILLING MANAGER)
(928) 777-9600
Entity
Organization

Contact information

Practice address
999 DIVISION ST, PRESCOTT, AZ 86301-1654
(928) 777-9600
(928) 777-9797
Mailing address
999 DIVISION ST, PRESCOTT, AZ 86301-1654
(928) 777-9600
(928) 777-9797

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC5343
AZ

Other

Enumeration date
04/21/2015
Last updated
08/24/2015
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