Organization
LARSON CHIROPRACTIC INC
Active
Other names
Larson Chiropractic Inc, J. Wade Larson
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES WADE LARSON DC (PRESIDENT)
(928) 532-0999
Entity
Organization
Contact information
Practice address
280 N WHITE MOUNTAIN RD, SHOW LOW, AZ 85901-5273
(928) 532-0999
(928) 532-0237
Mailing address
280 N WHITE MOUNTAIN RD, SHOW LOW, AZ 85901-5273
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
535
AZ
Other
Enumeration date
08/15/2017
Last updated
08/31/2017
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