Renaissance Chiropractic P C

NPI #1003096363 in Phoenix, Arizona

Provider Information

NPI Number: 1003096363
Entity Type: Organization
Organization Name: Renaissance Chiropractic P C
Primary Specialty: Chiropractor
Enumeration Date: Nov 5, 2007
Last Updated: Nov 5, 2007

Practice Location

Address: 112 N CENTRAL AVE
Address 2: A2
City: Phoenix
State: Arizona
ZIP Code: 85004-2309
Phone: (602) 712-9444

Authorized Official

Name: DR. REBECCA DAWN CARLSON, D.C.
Title: OWNER/OPERATOR
Phone: (602) 712-9444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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