Organization
PHOENIX CHIROPRACTIC INJURY CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN P. MORAN D.C., M.S. (OWNER)
(623) 742-9793
Entity
Organization
Contact information
Practice address
2815 N 91ST AVE STE 107, PHOENIX, AZ 85037-4053
(623) 742-9793
Mailing address
2815 N 91ST AVE STE 107, PHOENIX, AZ 85037-4053
(623) 742-9793
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2263705
—
OH
Enumeration date
06/17/2024
Last updated
06/17/2024
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