Provider Demographics
NPI:1972765931
Name:HILBURN, PATRICIA LEANNE (DC)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:LEANNE
Last Name:HILBURN
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 1:18275 N 59TH AVE
Mailing Address - Street 2:F134
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-1281
Mailing Address - Country:US
Mailing Address - Phone:602-789-8600
Mailing Address - Fax:602-789-8601
Practice Address - Street 1:18275 N 59TH AVE
Practice Address - Street 2:F134
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-1281
Practice Address - Country:US
Practice Address - Phone:602-789-8600
Practice Address - Fax:602-789-8601
Is Sole Proprietor?:No
Enumeration Date:2008-06-30
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7946111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor