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NPI Code Detail

MEDICARE: JAMEY S REICHOW D.C.

MEDICARE:   JAMEY S REICHOW  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
1111N00000XChiropractor7587AZ

General Provider Information

NPI Number : 1063592111
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMEY S REICHOW D.C.
Provider Business Mailing Address
First Line : 2214 E BLANCHE DR
Second Line :
City : PHOENIX
State : AZ
Zip : 85022-4021
Country : US
Telephone Number : 480-529-2752
Fax Number :
Provider Business Practice Location Address
First Line : 15420 N 7TH ST STE B
Second Line :
City : PHOENIX
State : AZ
Zip : 85022-3511
Country : US
Telephone Number : 602-298-0292
Fax Number : 602-298-6961
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2006
Last Update Date : 10/27/2010

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Directions to “ JAMEY S REICHOW D.C.” Practice Location

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