Individual
CRAIG ALLEN COSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
361 CATCLAW LN, LAKE HAVASU CITY, AZ 86403-5006
(928) 453-1367
Mailing address
361 CATCLAW LN, LAKE HAVASU CITY, AZ 86403-5006
(928) 453-1367
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8210
AZ
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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