Organization
MUSTANG CHIROPRACTIC, LLC
Active
Other names
White Mountain Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER RAY BUTLER D.C. (PRESIDENT)
(928) 367-3700
Entity
Organization
Contact information
Practice address
218 W. WHITE MOUNTAIN BLVD., SUITE B, LAKESIDE, AZ 85929
(928) 367-5700
(928) 367-2241
Mailing address
218 W. WHITE MOUNTAIN BLVD., SUITE B, LAKESIDE, AZ 85929
(928) 367-5700
(928) 367-2241
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7506
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851401772
NPI (INDIVIDUAL)
AZ
Enumeration date
06/08/2007
Last updated
10/22/2007
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