Organization
NORTH VALLEY CHIROPRACTIC CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL E BRIDGES DC (OWNER)
(602) 867-1797
Entity
Organization
Contact information
Practice address
4545 E SHEA BLVD, STE 174, PHOENIX, AZ 85028-3074
(602) 867-1797
(602) 254-6735
Mailing address
4545 E SHEA BLVD, STE 174, PHOENIX, AZ 85028-3074
(602) 867-1797
(602) 254-6735
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
2002
AZ
Other
Enumeration date
09/20/2012
Last updated
01/22/2013
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