Provider Demographics
NPI:1467524736
Name:MCJUNKIN, CLINTON C (ND DC)
Entity Type:Individual
Prefix:MR
First Name:CLINTON
Middle Name:C
Last Name:MCJUNKIN
Suffix:
Gender:M
Credentials:ND DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1800 EAST BELL RD
Mailing Address - Street 2:18 BELLS CLINIC
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85022
Mailing Address - Country:US
Mailing Address - Phone:602-992-7030
Mailing Address - Fax:602-867-9123
Practice Address - Street 1:1800 EAST BELL RD
Practice Address - Street 2:18 BELLS CLINIC
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85022
Practice Address - Country:US
Practice Address - Phone:602-992-7030
Practice Address - Fax:602-867-9123
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ594111N00000X
AZ68231175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered111N00000XChiropractic ProvidersChiropractor
Not Answered175F00000XOther Service ProvidersNaturopath