Individual
PHILLIP RINALDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
16960 W BELL RD STE 501, SURPRISE, AZ 85374-8946
(623) 242-1153
Mailing address
16960 W BELL RD STE 501, SURPRISE, AZ 85374-8946
(623) 242-1153
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8662
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004532341
BLUE CROSS BLUE SHIELD
IL
Enumeration date
10/05/2006
Last updated
04/03/2018
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