MEDICARE: NATHAN R KORRIGAN DC

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	9440	AZ

General Provider Information

NPI Number	:	1609664564
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATHAN R KORRIGAN DC

Provider Business Mailing Address
First Line	:	868 COVE PKWY STE 4
Second Line	:
City	:	COTTONWOOD
State	:	AZ
Zip	:	86326-5567
Country	:	US
Telephone Number	:	315-534-9659
Fax Number	:	315-534-9659

Provider Business Practice Location Address
First Line	:	868 COVE PKWY STE 4
Second Line	:
City	:	COTTONWOOD
State	:	AZ
Zip	:	86326-5567
Country	:	US
Telephone Number	:	315-534-9659
Fax Number	:	315-534-9659

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

Provider Enumeration Date	:	04/29/2025
Last Update Date	:	04/29/2025

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