Country Club Chiropractic LLC

NPI #1235208265 in Mesa, Arizona

Provider Information

NPI Number: 1235208265
Entity Type: Organization
Organization Name: Country Club Chiropractic LLC
Primary Specialty: Chiropractor
Enumeration Date: Nov 6, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1140 S COUNTRY CLUB DR
Address 2: SUITE 111-B
City: Mesa
State: Arizona
ZIP Code: 85210-4649
Phone: (480) 834-1700

Authorized Official

Name: DR. ALVIN SANDERS SANDERS, D.C.
Title: SOLE MEMBER PRACTICING PHYSICIAN
Phone: (480) 834-1700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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