Individual
DR. DAVID A MANCUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
18205 N 51ST AVE, SUITE 113, GLENDALE, AZ 85308-1490
(602) 354-4370
(602) 354-4695
Mailing address
16558 N 104TH WAY, SCOTTSDALE, AZ 85255-2463
(480) 510-3566
(480) 556-1461
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5012
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0243590
BLUE CROSS BLUE SHIELD
AZ
01
—
AZ8843
HEALTH NET
AZ
Enumeration date
08/31/2006
Last updated
08/09/2012
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