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Individual

DR. SAMUEL SICKMEYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
18001 N 79TH AVE STE B45, GLENDALE, AZ 85308-8393
(623) 773-9234
(623) 773-9228
Mailing address
18001 N 79TH AVE STE B45, GLENDALE, AZ 85308-8393
(623) 773-9234
(623) 773-9228

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8389
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1427442656
NPI FOR BUSINESS
AZ
Enumeration date
03/26/2014
Last updated
02/13/2024
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