MEDICARE: DODIE CHIROPRACTIC 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	3966	AZ

General Provider Information

NPI Number	:	1902073406
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DODIE CHIROPRACTIC INC

Provider Business Mailing Address
First Line	:	3920 E INDIAN SCHOOL RD
Second Line	:	#16
City	:	PHOENIX
State	:	AZ
Zip	:	85018-5257
Country	:	US
Telephone Number	:	602-956-3360
Fax Number	:	602-977-1357

Provider Business Practice Location Address
First Line	:	3920 E INDIAN SCHOOL RD
Second Line	:	#16
City	:	PHOENIX
State	:	AZ
Zip	:	85018-5257
Country	:	US
Telephone Number	:	602-956-3360
Fax Number	:	602-977-1357

Authorized Official
Title or Position	:	OPERATOR
Name	:	DR. LAURIE L. DODIE
Credential	:	D.C.
Telephone Number	:	602-956-3360

Provider Enumeration Date	:	05/14/2008
Last Update Date	:	02/10/2015

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Directions to “DODIE CHIROPRACTIC INC ” Practice Location

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