Healthcare Provider Details

I. General information

NPI: 1124955802
Provider Name (Legal Business Name): ALLIANCE MEDICAL AND CHIROPRACTIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21035 N CAVE CREEK RD STE 5C
PHOENIX AZ
85024-5522
US

IV. Provider business mailing address

21035 N CAVE CREEK RD STE 5C
PHOENIX AZ
85024-5522
US

V. Phone/Fax

Practice location:
  • Phone: 602-390-8254
  • Fax:
Mailing address:
  • Phone: 602-390-8254
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: BRANDON KULP
Title or Position: MEMBER
Credential: DC
Phone: 602-390-8254