Individual
DR. TAMMY R DORHOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC CCSP FIACA
Contact information
Practice address
6102 N 16 ST, #13, PHOENIX, AZ 85016
(602) 263-0266
(602) 263-0265
Mailing address
6102 N 16 ST, #13, PHOENIX, AZ 85016
(602) 263-0266
(602) 263-0265
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5003
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0238760
BCBS
—
Enumeration date
01/12/2007
Last updated
07/08/2007
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