Aspen Star Enterprises LLC

NPI #1295919017 in Queen Creek, Arizona

Provider Information

NPI Number: 1295919017
Entity Type: Organization
Organization Name: Aspen Star Enterprises LLC
Primary Specialty: Chiropractor
Enumeration Date: Dec 28, 2007
Last Updated: Feb 6, 2008

Practice Location

Address: 18472 E WALNUT RD
City: Queen Creek
State: Arizona
ZIP Code: 85242-3554
Phone: (480) 882-3862

Authorized Official

Name: DR. TED COFFMAN, DC
Title: PRESIDENT
Phone: (480) 882-3862

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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