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Organization

SALLY QUICK DC PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. EDWARD SANFORD TOBIN IV (OFFICE MANAGER)
(520) 408-5287
Entity
Organization

Contact information

Practice address
4715 N 1ST AVE, TUCSON, AZ 85718-5610
(520) 408-5287
(520) 690-0266
Mailing address
4715 N 1ST AVE, TUCSON, AZ 85718-5610
(520) 408-5287
(520) 690-0266

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4701
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
124149
HEALTHNET INS COMPANY
AZ
01
4701
AZ CHIROPRACTIC LICENSE
AZ
01
663627
AM CHIROPRACTIC NETWORK
AZ
01
AZ0945040
BLUECROSS BLUE SHIELD
AZ
Enumeration date
09/26/2007
Last updated
09/26/2007
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