Organization
ARIZONA LIFE CHIROPRACTIC CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS LEE CATHCART D.C. (CHIROPRACTOR/PRESIDENT)
(602) 242-7537
Entity
Organization
Contact information
Practice address
2801 W NORTHERN AVE, PHOENIX, AZ 85051-6646
(602) 242-7537
Mailing address
2801 W NORTHERN AVE, PHOENIX, AZ 85051-6646
(602) 242-7537
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4994
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AX2979
HEALTH NET
AZ
01
—
AZ0293440
BLUECROSS BLUE SHIELD OF AZ
AZ
Enumeration date
05/20/2008
Last updated
05/20/2008
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