Wallace Chiropractic

NPI 1053736439 - Chiropractor - 111N00000X

NPI Details
NPI 1053736439
Enumeration Date 02/21/2014
Last Updated 02/21/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name JANEEN L JANEEN
Position OWNER/PHYSICIAN
Phone (480) 245-4995
Fax
Practice Location
6610 E BASELINE RD
SUITE 103
MESA AZ, 85206-4440, US
Phone (480) 245-4995
Fax
Business Location
6610 E BASELINE RD
SUITE 103
MESA AZ, 85206-4440, US
Phone (480) 245-4995
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Arizona
License Number 7558
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According to our database, Wallace Chiropractic NPI is 1053736439, taxonomy code is 111N00000X and license number is 7558, license state is located at Arizona. Wallace Chiropractic physically located at 6610 E Baseline Rd, Mesa AZ, 85206-4440. NPI Number 1033115704 has the healthcare provider type.

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1053736439 NPI number is provided on an as is basis without warranty of any kind. 1053736439 is maintained by the National Plan & Provider Enumeration System. The contents of Wallace Chiropractic are for informational purposes only.