Health Source of West Mesa LLC

NPI #1356525257 in Mesa, Arizona

Provider Information

NPI Number: 1356525257
Entity Type: Organization
Organization Name: Health Source of West Mesa LLC
Primary Specialty: Chiropractor
Enumeration Date: Dec 27, 2007
Last Updated: Dec 27, 2007

Practice Location

Address: 1116 S DOBSON RD
Address 2: STE. 126
City: Mesa
State: Arizona
ZIP Code: 85202-3918
Phone: (480) 610-2666

Authorized Official

Name: ROGER MULLER
Title: CEO
Phone: (480) 610-2666

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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