PARAGON CHIROPRACTIC INC NPI 1053571059

NPI Information

PARAGON CHIROPRACTIC INC is a chiropractor in Phoenix, AZ. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. PARAGON CHIROPRACTIC INC NPI is 1053571059. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1628 E BETHANY HOME RD
PHOENIX, AZ
ZIP 85016-515
Phone: (602) 230-9292
Fax: (602) 230-2319

The provider's authorized official is Robert David Welch .
The authorized official title is Chiropractor and has the following contact phone number (602) 230-9292.

The CLIA number assigned to this NPI record is 03D1071311 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/12/2008 and was last updated on 7/24/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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