Provider Demographics
NPI:1780462663
Name:STENDEBACH, AUSTIN (DC)
Entity type:Individual
Prefix:DR
First Name:AUSTIN
Middle Name:
Last Name:STENDEBACH
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 1:5777 W GOLDEN LN
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85302-4614
Mailing Address - Country:US
Mailing Address - Phone:913-620-8223
Mailing Address - Fax:
Practice Address - Street 1:13733 N PRASADA PKWY STE 100
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85388-8014
Practice Address - Country:US
Practice Address - Phone:623-444-7100
Practice Address - Fax:623-748-9003
Is Sole Proprietor?:No
Enumeration Date:2023-09-20
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ9292111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor