MEDICARE: DR. CHRISTINA STAMM-CHRISTIAN D.C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	8421	AZ
2	111N00000X	Chiropractor	29893	CA

General Provider Information

NPI Number	:	1124221338
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINA STAMM-CHRISTIAN D.C

Provider Business Mailing Address
First Line	:	4767 N 20TH ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85016-4706
Country	:	US
Telephone Number	:	602-631-4500
Fax Number	:

Provider Business Practice Location Address
First Line	:	4767 N 20TH ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85016-4706
Country	:	US
Telephone Number	:	602-631-4500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2007
Last Update Date	:	09/28/2015

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