MEDICARE: CHIROPRACTIC WELLNESS AND ALTERNATIVE MEDICINE CENTER INC.

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	864	AZ

General Provider Information

NPI Number	:	1639491418
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHIROPRACTIC WELLNESS AND ALTERNATIVE MEDICINE CENTER INC.

Provider Business Mailing Address
First Line	:	4527 S HIGHWAY 92
Second Line	:
City	:	SIERRA VISTA
State	:	AZ
Zip	:	85650-9624
Country	:	US
Telephone Number	:	520-378-2777
Fax Number	:	520-378-2780

Provider Business Practice Location Address
First Line	:	4527 S HIGHWAY 92
Second Line	:
City	:	SIERRA VISTA
State	:	AZ
Zip	:	85650-9624
Country	:	US
Telephone Number	:	520-378-2777
Fax Number	:	520-378-2780

Authorized Official
Title or Position	:	PHYSICIAN/OWNER
Name	:	DR. ROBERT LEON LOPEZ
Credential	:	D.C.
Telephone Number	:	520-378-2777

Provider Enumeration Date	:	02/22/2010
Last Update Date	:	02/22/2010

Similar Medicare Providers

1295722775 — DR. ROBERT LEON LOPEZ D.C.
Practice Location Address:

4527 S HWY 92
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85650-9624

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1679532535 — SIERRA VISTA FRY FIRE DISTRICT
Practice Location Address:

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1639139611 — D. N. MCDOWELL MSW/PSYD
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Practice Fax:

1265486161 — DR. MICHAEL LEROY BRACE DDS
Practice Location Address:

3511 CANYON DE FLORES , SUITE B
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1306887732 — DIANE GAMMON JOHNSON
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1629004809 — MR. ROBIN DALE BIRON RN
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