Organization
AGAVE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL WILLIAM VAN BERKEL D.C. (OWNER)
(602) 956-8736
Entity
Organization
Contact information
Practice address
3818 E INDIAN SCHOOL RD, PHOENIX, AZ 85018-5235
(602) 956-8736
Mailing address
3818 E INDIAN SCHOOL RD, PHOENIX, AZ 85018-5235
(602) 956-8736
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
AZ5355
AZ
Other
Enumeration date
07/10/2006
Last updated
08/22/2020
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