Individual
MR. RON WAXMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
125 W MCDOWELL RD STE B, PHOENIX, AZ 85003-1223
(602) 253-8823
Mailing address
125 W MCDOWELL RD STE B, PHOENIX, AZ 85003-1223
(602) 253-8823
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3220
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0243720
BLUE CROSS
AZ
Enumeration date
06/10/2005
Last updated
10/31/2024
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