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DR. RICHARD ALBERT BOATRIGHT DC

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1821075524

Individual Registrant:
DR. RICHARD ALBERT BOATRIGHT DC
Gender: M

Location and contact information for practice:
43 W WHITE MOUNTAIN BLVD SUITE C PINETOP, AZ 85935-7060 US
Tel: 928-367-4402  Fax: 928-367-4403

Contact information for business:
PO BOX 3330  PINETOP, AZ 85935-3330 US
Tel: 928-367-4402  Fax: 928-367-4403

Registration Information:
NPI: 1821075524
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers
Chiropractor
AZ5129

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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