Provider Demographics
NPI:1912932245
Name:LUSTER, JOSHUA R (DC)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:R
Last Name:LUSTER
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 1:8550 E SHEA BLVD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-6678
Mailing Address - Country:US
Mailing Address - Phone:480-609-9099
Mailing Address - Fax:480-609-7447
Practice Address - Street 1:8550 E SHEA BLVD
Practice Address - Street 2:SUITE 110
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6678
Practice Address - Country:US
Practice Address - Phone:480-609-9099
Practice Address - Fax:480-609-7447
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7739111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor