Organization
ZASTROW CHIROPRACTIC CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JED LEE ZASTROW DC BS (PRESIDENT CEO)
(623) 975-0888
Entity
Organization
Contact information
Practice address
18775 N REEMS RD, SUITE 360, SURPRISE, AZ 85374-8647
(623) 975-0888
(623) 975-0843
Mailing address
18775 N REEMS RD, SUITE 360, SURPRISE, AZ 85374-8647
(623) 975-0888
(623) 975-0843
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7545
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5617285
FIRST HEALTH
AZ
05
—
920000
—
AZ
01
—
AZ0944850
BCBS OF AZ
AZ
Enumeration date
07/13/2006
Last updated
08/22/2020
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