Individual
DR. CHARLES BRIXNER BOAG JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4515 W INDIAN SCHOOL RD, PHOENIX, AZ 85031-2820
(602) 269-5717
(602) 269-5718
Mailing address
4515 W INDIAN SCHOOL RD, PHOENIX, AZ 85031-2820
(602) 269-5717
(602) 269-5718
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
756
AZ
Other
Enumeration date
12/05/2005
Last updated
05/01/2012
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