Provider Demographics
NPI:1154516284
Name:ARMSTRONG, ROBERT LAYZELL III (DC)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:LAYZELL
Last Name:ARMSTRONG
Suffix:III
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 1:2125 WYLIE DR STE 1
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95355-3847
Mailing Address - Country:US
Mailing Address - Phone:209-527-2273
Mailing Address - Fax:209-527-2263
Practice Address - Street 1:2125 WYLIE DR STE 1
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95355-3847
Practice Address - Country:US
Practice Address - Phone:209-527-2273
Practice Address - Fax:209-527-2263
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-11
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC29871111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor