Organization
SHEA CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT D. LARSON D.C. (PRESIDENT)
(602) 996-3601
Entity
Organization
Contact information
Practice address
3241 E SHEA BLVD, PHOENIX, AZ 85028-3335
(602) 996-3601
(602) 996-0068
Mailing address
3241 E SHEA BLVD, PHOENIX, AZ 85028-3335
(602) 996-3601
(602) 996-0068
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5128
AZ
Other
Enumeration date
02/01/2007
Last updated
09/20/2007
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