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Fully Wired INC

Clinic/Center in Oro Valley, AZ. Organization (NPI-2).

NPI number1144403239
StatusActive
Last updated in NPPESApr 9, 2012

Details

NPI
1144403239
Entity type
Organization (NPI-2)
Legal business name
Fully Wired INC
Organization subpart
No
Enumeration date
Dec 11, 2007
Last updated
Apr 9, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center4277AZYes

Other names

  • The Back Alley (Doing Business As)

Practice location

10515 N Oracle Rd
Suite 167
Oro Valley, AZ 85737-9377

Phone 520-877-2666 · Fax 520-877-9183

Mailing address

10515 N Oracle Rd
Suite 167
Oro Valley, AZ 85737-9377

Phone 520-877-2666 · Fax 520-877-9183

Authorized official

Darl Ross Shipley
Chiropractor
5208772666

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