DR. Jay Ronald Willis, DC

NPI #1942491733 in Mesa, Arizona

Provider Information

NPI Number: 1942491733
Entity Type: Individual
Name: DR. Jay Ronald Willis, DC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Aug 6, 2007
Last Updated: Aug 6, 2007

Practice Location

Address: 436 W 6TH ST
City: Mesa
State: Arizona
ZIP Code: 85201-4905
Phone: (480) 964-5455

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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