Provider Demographics
NPI:1639374135
Name:SGARIGLIA, DONNA M (DC)
Entity Type:Individual
Prefix:DR
First Name:DONNA
Middle Name:M
Last Name:SGARIGLIA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 ROADRUNNER DR
Mailing Address - Street 2:STE. 2A
Mailing Address - City:SEDONA
Mailing Address - State:AZ
Mailing Address - Zip Code:86336-3767
Mailing Address - Country:US
Mailing Address - Phone:928-282-2082
Mailing Address - Fax:928-282-0045
Practice Address - Street 1:105 ROADRUNNER DR
Practice Address - Street 2:STE. 2A
Practice Address - City:SEDONA
Practice Address - State:AZ
Practice Address - Zip Code:86336-3767
Practice Address - Country:US
Practice Address - Phone:928-282-2082
Practice Address - Fax:928-282-0045
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4648111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ350OtherACUPUNCTURE LIC
23034648OtherWORK COMP
AZ2546OtherPHYSIOTHERAPY
AZ4648OtherAZ STATE LICENSE
AZAZ0234650OtherBLUE CROSS BLUE SHIELD
AZUO9906Medicare UPIN
AZDC4648AMedicare ID - Type Unspecified