LAKESIDE CHIROPRACTIC PC

SHOW LOW, AZ
NPI1417133265
Entity TypeOrganization
Authorized ContactRICHARD ALBERT BOATRIGHT
President
928-532-1225
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
(Licence: AZ  5129)
Enumeration Date2008-01-10
Last Update Date2008-03-07
Business Address
LAKESIDE CHIROPRACTIC PC
1640 E OLIVER PL
SHOW LOW, AZ 85901-6117
Phone number: 928-532-1225
Mailing Address
LAKESIDE CHIROPRACTIC PC
PO BOX 3330
PINETOP, AZ 85935-3330
Phone number: 928-532-1225
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