Organization
RAYBURN CHIROPRACTIC CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEO GENE RAYBURN D.C. (OWNER)
(928) 567-1757
Entity
Organization
Contact information
Practice address
522 W FINNIE FLATS RD, SUITE I, CAMP VERDE, AZ 86322-7265
(928) 567-1757
(928) 567-1722
Mailing address
PO BOX 1680, CAMP VERDE, AZ 86322-1680
(928) 567-1757
(928) 567-1722
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2005
AZ
Other
Enumeration date
06/19/2008
Last updated
02/05/2010
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