Organization
AGAVE CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL VAN BERKEL D.C. (OWNER)
(602) 956-8736
Entity
Organization
Contact information
Practice address
3040 N 44TH ST, SUITE 3, PHOENIX, AZ 85018-7225
(602) 956-8736
(602) 956-8769
Mailing address
3040 N 44TH ST, SUITE 3, PHOENIX, AZ 85018-7225
(602) 956-8736
(602) 956-8769
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5355
AZ
Other
Enumeration date
07/19/2013
Last updated
07/30/2013
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