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Individual

DR. WILLIAM DANIEL LUSTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
4802 N 16TH ST, PHOENIX, AZ 85016-4606
(602) 688-1758
Mailing address
4802 N 16TH ST, PHOENIX, AZ 85016-4606
(602) 688-1758

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
7795024-1202
UT
111N00000X
Chiropractor
Primary
8280
AZ

Other

Enumeration date
10/29/2010
Last updated
10/23/2014
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