Individual provider · Type 1 NPI
Randall Scott Widmaier, DC
Chiropractor · Phoenix, AZ
NPI number
1770548554
Active
Practice location
5080 N 40th St Ste 104
Phoenix, AZ 85018-2158
Fax (602) 956-1582
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 4220 (AZ) |
Chiropractor: 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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About NPI 1770548554
Randall Scott Widmaier, DC's National Provider Identifier is 1770548554, issued on Apr 17, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Phoenix, AZ. The record was last updated on Feb 18, 2021.