Provider Demographics
NPI:1346367828
Name:STENDER, DAVID ALLEN (DC,)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:ALLEN
Last Name:STENDER
Suffix:
Gender:M
Credentials:DC,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6595 N ORACLE RD
Mailing Address - Street 2:SUITE 135
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-5645
Mailing Address - Country:US
Mailing Address - Phone:520-797-6683
Mailing Address - Fax:
Practice Address - Street 1:6595 N ORACLE RD
Practice Address - Street 2:SUITE 135
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-5645
Practice Address - Country:US
Practice Address - Phone:520-797-6683
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2007-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5437111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ0243160OtherBLUE CROSS BLUE SHIELD
ZDC5437Medicare PIN