Individual
CARL RAY ROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
836
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0083170
BCBS OF AZ
AZ
Enumeration date
06/18/2007
Last updated
07/08/2007
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