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NPI Code Detail

MEDICARE: DR. ABIGAYLE WELCH D.C.

MEDICARE:  DR. ABIGAYLE  WELCH  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
1111N00000XChiropractor8938AZ

General Provider Information

NPI Number : 1417549767
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ABIGAYLE WELCH D.C.
Provider Business Mailing Address
First Line : 1628 E BETHANY HOME RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85016-2515
Country : US
Telephone Number : 602-230-9292
Fax Number : 602-230-2319
Provider Business Practice Location Address
First Line : 1628 E BETHANY HOME RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85016-2515
Country : US
Telephone Number : 602-230-9292
Fax Number : 602-230-2319
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2021
Last Update Date : 02/08/2021

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