Individual
DR. DANIEL ROY CHARNSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
20624 N CAVE CREEK RD, STE #140, PHOENIX, AZ 85024-4453
(602) 788-7777
(602) 867-9185
Mailing address
PO BOX 71395, PHOENIX, AZ 85050-1007
(602) 788-7777
(602) 867-9185
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5217
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0930360
BLUE CROSS/BLUE SHIELD
AZ
Enumeration date
07/03/2006
Last updated
04/14/2010
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