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Individual

DR. BRUCE K RESNICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
4915 E BASELINE ROAD, SUITE 101, GILBERT, AZ 85234-2966
(480) 926-7100
(480) 926-7101
Mailing address
4915 E BASELINE ROAD, SUITE 101, GILBERT, AZ 85234-2966
(480) 926-7100
(480) 926-7101

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
5756
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AZ0243120
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
05/23/2007
Last updated
04/15/2008
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