Provider Demographics
NPI:1083953616
Name:ARROWHEAD CHIROPRACTIC CENTER PC
Entity Type:Organization
Organization Name:ARROWHEAD CHIROPRACTIC CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VAUGHN
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:MOVSES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:623-878-8999
Mailing Address - Street 1:17100 N 67TH AVE
Mailing Address - Street 2:STE 300
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-3605
Mailing Address - Country:US
Mailing Address - Phone:623-878-8999
Mailing Address - Fax:623-878-4877
Practice Address - Street 1:17100 N 67TH AVE
Practice Address - Street 2:STE 300
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-3605
Practice Address - Country:US
Practice Address - Phone:623-878-8999
Practice Address - Fax:623-878-4877
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-01
Last Update Date:2013-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7747111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty