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Organization

KOENKE CHIROPRACTIC, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KYLE ANDREW KOENKE D.C. (DOCTOR OF CHIROPRACTIC)
(480) 830-7288
Entity
Organization

Contact information

Practice address
1066 N POWER RD STE 104, MESA, AZ 85205-5709
(480) 830-7288
(480) 985-7255
Mailing address
1066 N POWER RD STE 104, MESA, AZ 85205-5709
(480) 830-7288
(480) 985-7255

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
7157
AZ

Other

Enumeration date
12/28/2007
Last updated
12/28/2007
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