Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Widmaier Chiropractic

Organization Clinic/Center · NPI 1205187689

Widmaier Chiropractic is a Clinic/Center in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2012.

Licensed in
AZ
In the registry since
2012
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Practice location Address checks out

5080 N 40th St Ste 104
Phoenix, AZ 85018-2158
Phone: (602) 954-6200
Fax: (602) 956-1582
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence 4220 (AZ)

Record details

NPI number1205187689
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randall Widmaier — President · (602) 954-6200
NPI enumeratedSeptember 26, 2012
Last updated in NPPESFebruary 18, 2021
Certification dateFebruary 18, 2021
Mailing address5080 N 40th St Ste 104, Phoenix, AZ 85018-2158

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