Timothy James Munderloh in Flagstaff - Chiropractor
Timothy James Munderloh - NPI 1104883164
Timothy James Munderloh is a Chiropractor in Flagstaff, Arizona. Timothy James Munderloh practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Timothy James Munderloh is 1104883164. The last update date is 2007-07-08.
Timothy James Munderloh's current location address is 1500 E Cedar Ave, Flagstaff, Arizona. You can contact this provider via phone number 9285560707 and fax number 9285228462. The mailing address for Timothy James Munderloh is 1500 E Cedar Ave, Flagstaff, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy James Munderloh |
|---|---|
| Address | 1500 E Cedar Ave, Flagstaff, Arizona |
| Phone Number | 9285560707 |
| Fax Number | 9285228462 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1104883164 |
|---|---|
| Provider Enumeration Date | 2006-04-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1500 E Cedar Ave |
|---|---|
| City | Flagstaff |
| State | Arizona (AZ) |
| Post Code | 86004 |
| Phone Number | 9285560707 |
| Fax Number | 9285228462 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 5935 |
|
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| AZ0941160 | AZ | BCBS | |
| 624131 | UNITED HEALTH CARE |
Post Comment/ Review Below
What is the Timothy James Munderloh's 1104883164?
The Timothy James Munderloh's NPI (National Provider Identifier) Number is 1104883164. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Timothy James Munderloh is located?
The Timothy James Munderloh is situated at the following address: 1500 E Cedar Ave, Flagstaff, AZ, 86004.
What is Timothy James Munderloh's area of expertise and its corresponding taxonomy classification?
The Timothy James Munderloh's field of specialization is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Timothy James Munderloh receive its 1104883164 assignment from the Centers for Medicare & Medicaid Services?
The Timothy James Munderloh was assigned its 1104883164 by the Centers for Medicare & Medicaid Services on 2006-04-26.
When was the information pertaining to Timothy James Munderloh most recently updated or revised?
The details related to Timothy James Munderloh, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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