Organization
DARVIL L BOREN DC PC
Active
Parent organization
NONE
Organization subpart
Yes
Provider details
NPI number
Legal business name
NONE
Authorized official
DARVIL BOREN DC (PRESIDENT)
(928) 428-7277
Entity
Organization
Contact information
Practice address
212 W 5TH ST, SAFFORD, AZ 85546-2334
(928) 428-7277
Mailing address
212 W 5TH ST, SAFFORD, AZ 85546-2334
(928) 428-7277
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4610
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0932490
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
05/16/2012
Last updated
05/16/2012
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