| Kingman Chiropractic Clinic Pc | |
|
1910 Lucille Ave, Kingman, AZ 86401-4693 | |
| (928) 753-2047 | |
| (928) 753-2020 |
| Full Name | Kingman Chiropractic Clinic Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1910 Lucille Ave, Kingman, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003970930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Ryan D Gustafson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1407938798 PECOS PAC ID: 1153340682 Enrollment ID: I20051115000081 |
| Mailing Address | Practice Location Address |
|---|---|
| Kingman Chiropractic Clinic Pc 1910 Lucille Ave, Kingman, AZ 86401-4693 Ph: (928) 753-2047 | Kingman Chiropractic Clinic Pc 1910 Lucille Ave, Kingman, AZ 86401-4693 Ph: (928) 753-2047 |
Barbara E Dorf, D C P C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 701 N Stockton Hill Rd, Ste # D, Kingman, AZ 86401 Phone: 928-753-2100 | |
Mrs. Patricia D Haydon, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 2139 Airway Ave., Kingman, AZ 86409 Phone: 928-757-2800 Fax: 928-757-2772 | |
Dr. Larry Allen Finch, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 115 Tucker St, Kingman, AZ 86401 Phone: 928-753-6937 Fax: 928-753-6937 | |
Mr. David M Bleiler, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2139 Airway Ave, Kingman, AZ 86409 Phone: 928-757-2800 Fax: 928-757-2772 | |
Dr. Aza Thompson, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2139 Airway Ave, Kingman, AZ 86409 Phone: 928-757-2800 Fax: 928-757-2772 | |
Brock Chiropractic Inc Pc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 410 Riata Valley Rd, Kingman, AZ 86409 Phone: 928-757-9361 |