Individual
DR. MELVIN GREGORY HACKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
218 N WILLIAMSON AVE, WINSLOW, AZ 86047-3721
(928) 289-2416
(928) 289-2416
Mailing address
218 N WILLIAMSON AVE, WINSLOW, AZ 86047-3721
(928) 289-2416
(928) 289-2416
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1049
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0085170
BLUECROSSBLUESHIELD IDEN
AZ
Enumeration date
01/30/2007
Last updated
07/08/2007
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