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NPI Code Detail

MEDICARE: SWAN CLINIC OF NATURAL HEALING

MEDICARE: SWAN CLINIC OF NATURAL HEALING
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
1111N00000XChiropractor924AZ

General Provider Information

NPI Number : 1205297470
Entity Type Code : Organization
Provider Name (Legal Business Name) : SWAN CLINIC OF NATURAL HEALING
Provider Business Mailing Address
First Line : 1001 N SWAN RD
Second Line :
City : TUCSON
State : AZ
Zip : 85711-1215
Country : US
Telephone Number : 520-891-5244
Fax Number :
Provider Business Practice Location Address
First Line : 1001 N SWAN RD
Second Line :
City : TUCSON
State : AZ
Zip : 85711-1215
Country : US
Telephone Number : 520-891-5244
Fax Number :
Authorized Official
Title or Position : DOCTOR OF CHIROPRACTIC
Name : DR. BARRY JOE DEAL
Credential : D.C.
Telephone Number : 520-891-5244
Provider Enumeration Date : 03/15/2016
Last Update Date : 03/15/2016

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Directions to “SWAN CLINIC OF NATURAL HEALING ” Practice Location

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