Desert Ridge Spine, INC

NPI #1912035965 in Mesa, Arizona

Provider Information

NPI Number: 1912035965
Entity Type: Organization
Organization Name: Desert Ridge Spine, INC
Primary Specialty: Chiropractor
Enumeration Date: Mar 1, 2007
Last Updated: Oct 9, 2007

Practice Location

Address: 3035 S ELLSWORTH RD
Address 2: SUITE 109
City: Mesa
State: Arizona
ZIP Code: 85212-2160
Phone: (480) 832-3318

Authorized Official

Name: DR. TOM OHARA, D.C.
Title: PRESIDENT
Phone: (480) 832-3318

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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