Organization Name: | ADVANCED BACK AND NECK CARE OF OCOTILLO, PC |
NPI Number: | 1326071010 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PHIL GULDE (MGR) |
Mailing Address: | 1055 W Queen Creek Rd #3 Chandler |
State: | AZ US |
Postal Code: | 852488134 |
Phone Number: | 4808147115 |
Fax Number: | 4808147792 |
NPI Enumeration Date: | 07/08/2006 |
NPI Last Update Date: | 01/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |