MEDICARE: FIX24, LLC

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	7152	AZ

General Provider Information

NPI Number	:	1184906489
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIX24, LLC

Provider Business Mailing Address
First Line	:	7000 E MAYO BLVD
Second Line	:	SUITE 1058
City	:	PHOENIX
State	:	AZ
Zip	:	85054-6151
Country	:	US
Telephone Number	:	480-419-1500
Fax Number	:

Provider Business Practice Location Address
First Line	:	7000 E MAYO BLVD
Second Line	:	SUITE 1058
City	:	PHOENIX
State	:	AZ
Zip	:	85054-6151
Country	:	US
Telephone Number	:	480-419-1500
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. SYLVIA ROBB
Credential	:
Telephone Number	:	623-693-4407

Provider Enumeration Date	:	09/13/2011
Last Update Date	:	09/13/2011

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