Formation Chiropractic, LLC

NPI #1073157178 in Phoenix, Arizona

Provider Information

NPI Number: 1073157178
Entity Type: Organization
Organization Name: Formation Chiropractic, LLC
Primary Specialty: Chiropractor
Enumeration Date: Oct 31, 2019
Last Updated: Oct 31, 2019

Practice Location

Address: 3632 E INDIAN SCHOOL RD
City: Phoenix
State: Arizona
ZIP Code: 85018-5127
Phone: (480) 717-9577

Authorized Official

Name: COLBY GILES, DC
Title: OWNER
Phone: (480) 717-9577

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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