Organization
MANCUSO CHIRO CENTER LLC
Active
Other names
ProFormance Health of Glendale
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ANTHONY MANCUSO DC (PRESIDENT)
(480) 510-3566
Entity
Organization
Contact information
Practice address
18205 N 51ST AVE, SUITE 113, GLENDALE, AZ 85308-1490
(602) 354-4370
(602) 354-4695
Mailing address
18205 N 51ST AVE, SUITE 113, GLENDALE, AZ 85308-1490
(602) 354-4370
(602) 354-4695
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5012
AZ
Other
Enumeration date
01/17/2011
Last updated
02/10/2012
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