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Individual

DR. DANE B. KOHL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
4550 E BELL RD, BLDG 6 SUITE 152, PHOENIX, AZ 85032-9306
(602) 258-9663
Mailing address
20632 N 9TH ST, PHOENIX, AZ 85024-4109
(480) 298-9956

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7860
AZ
208100000X
Physical Medicine & Rehabilitation Physician
4552
AZ

Other

Enumeration date
09/27/2007
Last updated
04/21/2014
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