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Individual

DR. GEORGE ANTHONY DEFABRITIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
5350 N 16TH ST, 107, PHOENIX, AZ 85016-3213
(602) 955-7400
(602) 955-7416
Mailing address
5350 N 16TH ST, 107, PHOENIX, AZ 85016-3213
(602) 955-7400
(602) 955-7416

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
686
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AZ0086870
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
11/28/2006
Last updated
12/04/2010
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