Organization
MATTHEW DORCHESTER, DC, CCSP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW DORCHESTER DC (PHYSICIAN)
(480) 991-3399
Entity
Organization
Contact information
Practice address
18325 N ALLIED WAY, SUITE 105, PHOENIX, AZ 85054-3105
(480) 991-3399
(480) 905-0815
Mailing address
8894 E RUSTY SPUR PL, SCOTTSDALE, AZ 85255-9166
(480) 991-3399
(480) 905-0815
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
1578
AZ
208D00000X
General Practice Physician
Primary
10597
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z117689
PTAN
AZ
Enumeration date
09/13/2007
Last updated
01/05/2012
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