Well Chiropractic Clinic 2 LLC
Chiropractor in Mesa, AZ. Organization (NPI-2).
NPI number1164031829
StatusActive
Last updated in NPPESJan 18, 2021
Details
- NPI
- 1164031829
- Entity type
- Organization (NPI-2)
- Legal business name
- Well Chiropractic Clinic 2 LLC
- Organization subpart
- No
- Enumeration date
- Jul 29, 2020
- Certification date
- Jan 18, 2021
- Last updated
- Jan 18, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | – | – | Yes |
Practice location
6836 E Brown Rd Ste 102Mesa, AZ 85207-3756
Phone 480-229-4588
Mailing address
6836 E Brown Rd Ste 102Mesa, AZ 85207-3756
Phone 480-229-4588
Authorized official
Eric Garst
President
4802294588
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All 301 Chiropractor providers in Mesa · All 13,507 providers in Mesa
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