Provider Demographics
NPI:1629117379
Name:SOUTHWEST CENTERS FOR NATURAL HEALING
Entity Type:Organization
Organization Name:SOUTHWEST CENTERS FOR NATURAL HEALING
Other - Org Name:PALMER CENTER FOR NATURAL HEALING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER-PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:WALTER
Authorized Official - Last Name:PALMER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:480-443-2584
Mailing Address - Street 1:10605 N HAYDEN RD
Mailing Address - Street 2:SUITE #110
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-5686
Mailing Address - Country:US
Mailing Address - Phone:480-443-2584
Mailing Address - Fax:480-443-8171
Practice Address - Street 1:10605 N HAYDEN RD
Practice Address - Street 2:SUITE #110
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-5686
Practice Address - Country:US
Practice Address - Phone:480-443-2584
Practice Address - Fax:480-443-8171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4078111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ69325Medicare UPIN
AZ69325Medicare ID - Type UnspecifiedGROUP NUMBER