Individual
BRUCE SCHMIDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
17250 N 43RD AVE STE 5, GLENDALE, AZ 85308-4037
(623) 842-1261
(623) 334-0192
Mailing address
17250 N 43RD AVE STE 5, GLENDALE, AZ 85308-4037
(623) 842-1261
(623) 334-0182
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5951
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0935120
BCBS OF AZ PROVIDER#
AZ
Enumeration date
07/28/2006
Last updated
04/20/2023
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