East Valley Physicians Group

NPI #1992255798 in Mesa, Arizona

Provider Information

NPI Number: 1992255798
Entity Type: Organization
Organization Name: East Valley Physicians Group
Primary Specialty: Chiropractor
Enumeration Date: Oct 5, 2016
Last Updated: Oct 5, 2016

Practice Location

Address: 2044 N RECKER RD
City: Mesa
State: Arizona
ZIP Code: 85215-2744
Phone: (480) 924-7632

Authorized Official

Name: DAVID C KETCHUM, DC
Title: OWNER
Phone: (480) 924-7632

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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