Provider Demographics
NPI:1649444316
Name:BAUMGARDNER, ADAM FRANKLIN (DC)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:FRANKLIN
Last Name:BAUMGARDNER
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 1:600 N BULLARD AVE STE 10
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85338-2518
Mailing Address - Country:US
Mailing Address - Phone:623-866-3995
Mailing Address - Fax:623-536-2008
Practice Address - Street 1:600 N BULLARD AVE STE 10
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85338-2518
Practice Address - Country:US
Practice Address - Phone:623-866-3995
Practice Address - Fax:623-536-2008
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-14
Last Update Date:2019-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7907111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor