Organization
LIFETIME CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY ROGERS D.C. (OWNER)
(480) 633-3151
Entity
Organization
Contact information
Practice address
235 E WARNER RD, STE B104, GILBERT, AZ 85296-2972
(480) 633-3151
(480) 383-6076
Mailing address
PO BOX 1697, QUEEN CREEK, AZ 85142-1837
(480) 633-3151
(480) 383-6076
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8136
AZ
Other
Enumeration date
08/06/2016
Last updated
08/06/2016
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