DESERT RIDGE SPINE INC NPI 1912035965

NPI Information

DESERT RIDGE SPINE, INC is a chiropractor in Mesa, AZ. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DESERT RIDGE SPINE, INC NPI is 1912035965. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3035 S ELLSWORTH RD
SUITE 109
MESA, AZ
ZIP 85212-160
Phone: (480) 832-3318
Fax: (480) 621-7208

The provider's authorized official is Tom Ohara .
The authorized official title is President and has the following contact phone number (480) 832-3318.

The enumeration date for this NPI number is 3/1/2007 and was last updated on 10/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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