Groundhog Enterprise LLC

NPI #1306160619 in Phoenix, Arizona

Provider Information

NPI Number: 1306160619
Entity Type: Organization
Organization Name: Groundhog Enterprise LLC
Primary Specialty: Chiropractor
Enumeration Date: Mar 16, 2010
Last Updated: Mar 16, 2010

Practice Location

Address: 4646 E GREENWAY RD
Address 2: SUITE 104
City: Phoenix
State: Arizona
ZIP Code: 85032-4805
Phone: (602) 867-1444

Authorized Official

Name: DR. KENDRA A WELLMAN, DC
Title: OWNER/DOCTOR
Phone: (602) 867-1444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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