Organization
MOON CHIROPRACTIC CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRINE WINTERS (OFFICE MANAGER)
(928) 753-1120
Entity
Organization
Contact information
Practice address
1751 STOCKTON HILL RD, SUITE B, KINGMAN, AZ 86401-6601
(928) 753-1120
(928) 753-6191
Mailing address
1751 STOCKTON HILL RD, SUITE B, KINGMAN, AZ 86401-6601
(928) 753-1120
(928) 753-6191
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5153
AZ
Other
Enumeration date
02/05/2008
Last updated
02/05/2008
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