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Dr. Randall Scott Widmaier, DC
Chiropractor in Phoenix, Arizona
NPI 1770548554

Randall Scott Widmaier is a Chiropractor based in Phoenix, AZ. Randall Scott Widmaier practices in Phoenix, AZ and has the professional credentials of DC. The NPI Number for Randall Scott Widmaier is 1770548554 and holds a License No. 4220 (Arizona).

The current practice location address for Randall Scott Widmaier is 5080 N 40Th St Ste 104, Phoenix, AZ and can be reached out via phone at 602-954-6200 and via fax at 602-956-1582.

Location: 5080 N 40Th St Ste 104, Phoenix, AZ, 85018-2158
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Provider Profile Details
NPI Number
1770548554
Provider Name
Randall Scott Widmaier
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
5080 N 40Th St Ste 104, Phoenix, AZ, 85018-2158
Phone Number
602-954-6200
Fax Number
602-956-1582
Provider Enumeration Date
04/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1Z3082 01 AZ HEALTHNET
AZ0245320 01 AZ BLUE CROSS/BLUE SHIELD
818677 01 AZ APIPA
426305 55 05 AZ
4268552 01 AZ AETNA
0628191 01 AZ AETNA HMO
institution
Provider Business Practice Location Address Details
Address
5080 N 40Th St Ste 104
City
State
Zip
85018-2158
Phone Number
602-954-6200
Fax Number
602-956-1582
person
Provider Business Mailing Address Details
Address
5080 N 40Th St Ste 104
City
State
Zip
85018-2158
Phone Number
602-954-6200
Fax Number
602-956-1582
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
4220 (Arizona)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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