Organization
SPINEWISE LLC
Active
Parent organization
FP VENTURES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FP VENTURES LLC
Authorized official
BECKY ROGERS (MANAGER)
(480) 444-9036
Entity
Organization
Contact information
Practice address
18407 E CATTLE DR, QUEEN CREEK, AZ 85142-5175
(480) 444-9036
Mailing address
18521 E QUEEN CREEK RD STE 490, QUEEN CREEK, AZ 85142-5866
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/25/2017
Last updated
08/25/2017
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