Organization
COTTINGHAM CHIROPRACTIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFERY C COTTINGHAM DC (OWNER/PRESIDENT)
(480) 940-4880
Entity
Organization
Contact information
Practice address
5055 W RAY RD STE 21, CHANDLER, AZ 85226-6113
(480) 940-4880
(480) 940-4809
Mailing address
5055 W RAY RD STE 21, CHANDLER, AZ 85226-6113
(480) 940-4880
(480) 940-4809
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5530/3186
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z-DC5530
MEDICARE PTAN
AZ
Enumeration date
06/12/2012
Last updated
06/12/2012
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