NORTH VALLEY CHIROPRACTIC CENTER PC
Ambulatory Health at Shea Blvd, Phoenix, AZ

License number
Arizona 2002
Category
Ambulatory Health
Type
Health Service
Owner
Name: DR. RANDALL E BRIDGES DC
Title: OWNER
Phone: (602) 867-1797
Address
Address
4545 E Shea Blvd STE 174, Phoenix, AZ 85028
National Provider ID: 1881945517
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NORTH VALLEY CHIROPRACTIC CENTER, PC

Phoenix, AZ

Industry:
Chiropractor's Office
Registration:
Sep 23, 1985
Addresses:
Suite 17 SUITE 174, Phoenix, AZ 85028 (Physical)
4545 E Shea Blvd, Phoenix, AZ 85028
State ID:
-0178887-0
Expiration:
PERPETUAL
President:
Randall E Bridges (President), Suite 17 SUITE 174, Phoenix, AZ 85028 (Physical)
Agent:
Randall E Bridges Dc,4545 E Shea Blvd SUITE 174, Phoenix, AZ 85028 (Physical)
10175 E Duane Ln, Scottsdale, AZ 85262 (Physical)

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