Organization
CHIROPRACTIC VENTURES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA VAN DOREN (OWNER)
(917) 387-7329
Entity
Organization
Contact information
Practice address
3131 E THUNDERBIRD RD STE 13A, PHOENIX, AZ 85032-5640
(917) 387-7329
Mailing address
3131 E THUNDERBIRD RD STE 13A, PHOENIX, AZ 85032-5640
(917) 387-7329
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8430
LICENSE
AZ
Enumeration date
07/07/2021
Last updated
07/07/2021
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