PROSPINE, LLC
Managed Care Organizations at Bell Rd, Phoenix, AZ

License number
Arizona 5775
Category
Managed Care Organizations
Type
Point of Service
Owner
Name: DR. DYLAN FOSTER D.C.
Title: OWNER
Phone: (602) 866-3500
Address
Address
1107 E Bell Rd SUITE 14, Phoenix, AZ 85022
National Provider ID: 1013113976
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PROSPINE, LLC at bizstanding.com

PROSPINE, LLC

1107 E Bell Rd STE 14, Phoenix, AZ 85022

Registration:
Oct 12, 2005
State ID:
L-1235323-4
Expiration:
PERPETUAL
Member:
Dylan Foster (Member), 762 E Rosemonte Dr, Phoenix, AZ 85024 (Physical)

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