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Individual

JEFFREY PAUL SHIFLET

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
36359 N. GANTZEL RD., SUITE 102, SAN TAN VALLEY, AZ 85140
(480) 888-7383
(480) 888-7384
Mailing address
36359 N. GANTZEL RD., SUITE 102, SAN TAN VALLEY, AZ 85140
(480) 888-7383
(480) 888-7384

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7127
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0942941
BLUE CROSS BLUE SHEILD OF
AZ
01
5662019
FIRST HEALTH/ CCN
AZ
01
AZ0942940
BLUE CROSS BLUE SHEILD OF
AZ
Enumeration date
10/12/2006
Last updated
03/02/2010
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