Organization
BACKPRO CHIROPRACTIC & NUTRITION, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD A GUARINO D.C, (PRESIDENT/OWNER)
(602) 992-4444
Entity
Organization
Contact information
Practice address
3141 E BEARDSLEY RD, SUITE 125, PHOENIX, AZ 85050-4771
(602) 992-4444
(602) 992-4004
Mailing address
PO BOX 72959, PHOENIX, AZ 85050-1033
(602) 992-4444
(602) 992-4004
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5719
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0934900
BCBS OF AZ
—
01
—
Z60382
MEDICARE PTAN
—
Enumeration date
10/16/2012
Last updated
10/16/2012
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