Individual
DR. BRUCE J DEMARTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4550 E. BELL ROAD, # 114, PHOENIX, AZ 85032-9342
(602) 996-6668
(602) 494-0926
Mailing address
4550 E. BELL ROAD, # 114, PHOENIX, AZ 85028-9342
(602) 996-6668
(602) 494-0926
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3491
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23073491
STATE COMP
AZ
01
—
347056
AHCCS
AZ
01
—
AZ0932620
BCBS
AZ
Enumeration date
04/18/2006
Last updated
09/06/2007
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