Provider Demographics
NPI:1316146954
Name:ANDRUS, RICHARD K (DC)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:K
Last Name:ANDRUS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:RICHARD K. ANDRUS, D.C.
Mailing Address - Street 2:2040 E. BELL RD., SUITE 140
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85022
Mailing Address - Country:US
Mailing Address - Phone:602-992-4909
Mailing Address - Fax:602-482-2034
Practice Address - Street 1:RICHARD K. ANDRUS, D.C.
Practice Address - Street 2:2040 E. BELL RD., SUITE 140
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85022
Practice Address - Country:US
Practice Address - Phone:602-992-4909
Practice Address - Fax:602-482-2034
Is Sole Proprietor?:No
Enumeration Date:2007-07-13
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7471111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor