Individual
DEBRA MAZZOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
9550 W VAN BUREN STREET, SUITE 10, TOLLESON, AZ 85353-2827
(623) 907-0454
(623) 907-0493
Mailing address
9550 W VAN BUREN STREET, SUITE 10, TOLLESON, AZ 85353-2827
(623) 907-0454
(623) 907-0493
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7067
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0942270
BCBS
AZ
Enumeration date
05/16/2007
Last updated
07/08/2007
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