Organization
ACCELERATED HEALING CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL KEITH LERAAEN D.C., M.U.A.C. (OWNER/PRESIDENT)
(602) 439-5559
Entity
Organization
Contact information
Practice address
13704 N 51ST AVE, GLENDALE, AZ 85304-1416
(602) 439-5559
(602) 862-9161
Mailing address
13704 N 51ST AVE, GLENDALE, AZ 85304-1416
(602) 439-5559
(602) 862-9161
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5735
AZ
Other
Enumeration date
03/10/2008
Last updated
03/10/2008
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