Individual
DR. JUDITH BERNADETTE HARVILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
5620 W THUNDERBIRD RD STE D4, GLENDALE, AZ 85306-4640
(602) 789-0880
(602) 789-0891
Mailing address
5620 W THUNDERBIRD RD STE D4, GLENDALE, AZ 85306-4640
(602) 789-0880
(602) 789-0891
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5275
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
138738
MEDICARE PTAN
AZ
01
—
5275
AZ CHIROPRACTIC ID
AZ
Enumeration date
06/07/2006
Last updated
02/15/2024
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