| Life Clinic Of Az Pc | |
|
2580 E Camelback Rd, Phoenix, AZ 85016-4204 | |
| (952) 229-7464 | |
| Not Available |
| Full Name | Life Clinic Of Az Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2580 E Camelback Rd, Phoenix, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750931267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
| Provider Name | Andrew Arthur Moore |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1831767219 PECOS PAC ID: 0345645933 Enrollment ID: I20210819002122 |
| Provider Name | Juan Alvarez |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1649933722 PECOS PAC ID: 1153719307 Enrollment ID: I20220117000651 |
| Provider Name | Ronald G Vaughn |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1205048741 PECOS PAC ID: 1456790260 Enrollment ID: I20240412001984 |
| Provider Name | Eathyn Peterson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1376945360 PECOS PAC ID: 5991154130 Enrollment ID: I20241014004109 |
| Provider Name | Jonathan Thomas Hahn |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1679325625 PECOS PAC ID: 9032652458 Enrollment ID: I20250521001674 |
| Mailing Address | Practice Location Address |
|---|---|
| Life Clinic Of Az Pc Po Box 549, Chanhassen, MN 55317-0549 Ph: () - | Life Clinic Of Az Pc 2580 E Camelback Rd, Phoenix, AZ 85016-4204 Ph: (952) 229-7464 |
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