Provider Demographics
NPI:1356545024
Name:BIGLER, RALPH P (DC)
Entity type:Individual
Prefix:
First Name:RALPH
Middle Name:P
Last Name:BIGLER
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 1:761 EAST UNIVERSITY
Mailing Address - Street 2:SUITE D
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85203
Mailing Address - Country:US
Mailing Address - Phone:480-898-0811
Mailing Address - Fax:480-844-1200
Practice Address - Street 1:761 E UNIVERSITY DR
Practice Address - Street 2:SUITE D
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85203-7961
Practice Address - Country:US
Practice Address - Phone:480-898-0811
Practice Address - Fax:480-844-1200
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3127111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ860830855OtherFEDERAL TAX ID