Provider Demographics
NPI:1962741314
Name:RED ROCK CHIROPRACTIC
Entity type:Organization
Organization Name:RED ROCK CHIROPRACTIC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:C
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:928-284-2228
Mailing Address - Street 1:100 VERDE VALLEY SCHOOL RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:SEDONA
Mailing Address - State:AZ
Mailing Address - Zip Code:86351-9053
Mailing Address - Country:US
Mailing Address - Phone:928-284-2228
Mailing Address - Fax:928-284-2229
Practice Address - Street 1:100 VERDE VALLEY SCHOOL RD
Practice Address - Street 2:SUITE 110
Practice Address - City:SEDONA
Practice Address - State:AZ
Practice Address - Zip Code:86351-9053
Practice Address - Country:US
Practice Address - Phone:928-284-2228
Practice Address - Fax:928-284-2229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-05
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8115111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty