Provider Demographics
NPI:1316902182
Name:ARMBRUST, THOMAS L (DC)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:L
Last Name:ARMBRUST
Suffix:
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 1:18777 N 32ND ST
Mailing Address - Street 2:SUITE 80
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85050-3201
Mailing Address - Country:US
Mailing Address - Phone:602-923-3563
Mailing Address - Fax:602-923-3624
Practice Address - Street 1:18777 N 32ND ST
Practice Address - Street 2:SUITE 80
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85050-3201
Practice Address - Country:US
Practice Address - Phone:602-923-3563
Practice Address - Fax:602-923-3624
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-17
Last Update Date:2014-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5929111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZU78849Medicare UPIN
AZ60927Medicare ID - Type Unspecified