Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 8871 | AZ |
N | 111NR0400X | Rehabilitation Chiropractor | 5427 | AZ |
NPI | 1346888336 |
---|---|
Provider Name | Dr. Farzan Billimoria |
First Address | Cottonwood, AZ 86326-5483 |
Second Address | Glendale, AZ 85308-8457 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/12/2019 |
Last Update Date | 20/12/2019 |