Organization
DAKOTA HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY BUCKNER D.C. (CEO)
(480) 897-3300
Entity
Organization
Contact information
Practice address
1001 E WARNER RD, STE 107, TEMPE, AZ 85284-3224
(480) 897-3300
(480) 897-3312
Mailing address
1001 E WARNER RD, STE 107, TEMPE, AZ 85284-3224
(480) 897-3300
(480) 897-3312
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
AZ
363LF0000X
Family Nurse Practitioner
—
AZ
Other
Enumeration date
12/20/2013
Last updated
12/20/2013
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