Sport and Spine Chiropractic Pllc

NPI #1194351379 in Tempe, Arizona

Provider Information

NPI Number: 1194351379
Entity Type: Organization
Organization Name: Sport and Spine Chiropractic Pllc
Primary Specialty: Chiropractor
Enumeration Date: Mar 19, 2020
Last Updated: Mar 19, 2020

Practice Location

Address: 2155 E UNIVERSITY DR STE 111
City: Tempe
State: Arizona
ZIP Code: 85281-4685
Phone: (480) 454-4776

Authorized Official

Name: DR. ROBERT DYLAN HERNANDEZ, DC
Title: OWNER
Phone: (702) 277-0578

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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