Individual
DR. JAMES B MCBRIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2169 MCCULLOCH BLVD N, LAKE HAVASU CITY, AZ 86403-6833
(928) 855-8190
(928) 855-8215
Mailing address
2169 MCCULLOCH BLVD N, LAKE HAVASU CITY, AZ 86403-6833
(928) 855-8190
(928) 855-8215
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2088
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0232990
BC BS AZ PROVIDER NUMBER
AZ
Enumeration date
04/26/2006
Last updated
05/08/2012
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