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NPI Code Detail

MEDICARE: RUSLAN KAZAK DC

MEDICARE:   RUSLAN  KAZAK  DC
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
1111N00000XChiropractor9215AZ

General Provider Information

NPI Number : 1487376638
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUSLAN KAZAK DC
Provider Business Mailing Address
First Line : 20823 N CAVE CREEK RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85024-4468
Country : US
Telephone Number : 480-442-4445
Fax Number :
Provider Business Practice Location Address
First Line : 20823 N CAVE CREEK RD STE 103
Second Line :
City : PHOENIX
State : AZ
Zip : 85024-4469
Country : US
Telephone Number : 480-442-4445
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2022
Last Update Date : 09/14/2022

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Directions to “ RUSLAN KAZAK DC” Practice Location

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