MEDICARE: DR. ALAN SCOTT FRANDSEN 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
1	111N00000X	Chiropractor	8733	AZ

General Provider Information

NPI Number	:	1275986176
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALAN SCOTT FRANDSEN D.C.

Provider Business Mailing Address
First Line	:	5115 N DYSART RD
Second Line	:	SUITE 202 #611
City	:	LITCHFIELD PARK
State	:	AZ
Zip	:	85340-3036
Country	:	US
Telephone Number	:	623-776-2225
Fax Number	:	623-776-2299

Provider Business Practice Location Address
First Line	:	7710 W LOWER BUCKEYE RD STE 115
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85043-3439
Country	:	US
Telephone Number	:	623-776-2225
Fax Number	:	623-776-2299

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

Provider Enumeration Date	:	07/15/2016
Last Update Date	:	12/11/2019

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