NPI 1003096363

Renaissance Chiropractic P C

Organisation Chiropractor Phoenix, AZ

Practice location

Address: 112 N Central Ave A2, Phoenix, AZ 85004-2309
Phone: (602) 712-9444
Fax: (602) 258-7844

Authorised official

Name: Rebecca Dawn Carlson
Title: Owner/Operator
Phone: (602) 712-9444

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 5145 (AZ)

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Registry record

NPI: 1003096363
Entity type: Organization
NPI issued: 5 Nov 2007
Record last updated: 5 Nov 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.