Organization
QUALLS COMPREHENSIVE CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD A QUALLS JR. DC (OWNER)
(602) 862-9419
Entity
Organization
Contact information
Practice address
12020 N 35TH AVE, STE 102, PHOENIX, AZ 85029-3213
(602) 862-9419
(866) 905-5721
Mailing address
12020 N 35TH AVE, STE 102, PHOENIX, AZ 85029-3213
(602) 862-9419
(866) 905-5721
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2030
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0938530
BCBS
AZ
Enumeration date
10/05/2007
Last updated
10/05/2007
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