Individual
DR. CHARLES RICHARD CLOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
26242 S LAKEMONT DR, SUN LAKES, AZ 85248-7157
(602) 770-2536
Mailing address
26242 S LAKEMONT DR, SUN LAKES, AZ 85248-7157
(602) 770-2536
Taxonomy
Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
6027
AZ
111NN1001X
Nutrition Chiropractor
6027
AZ
111NS0005X
Sports Physician Chiropractor
Primary
6027
AZ
Other
Enumeration date
09/05/2007
Last updated
09/05/2007
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