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Organization

HIGH DESERT CHIROPRACTIC PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT THORNTON D.C. (OWNER/CHIROPRACTIC)
(928) 753-5554
Entity
Organization

Contact information

Practice address
2401 STOCKTON HILL RD, STE 105, KINGMAN, AZ 86401-4189
(928) 753-5554
(928) 753-5855
Mailing address
2401 STOCKTON HILL RD, STE 105, KINGMAN, AZ 86401-4189
(928) 753-5554
(928) 753-5855

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
7101
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AZ0943320
BCBS
AZ
Enumeration date
10/04/2010
Last updated
10/04/2010
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