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EAST VALLEY PHYSICIANS GROUP NPI 1992255798


NPI Information

NPI: 1992255798
Provider Name: EAST VALLEY PHYSICIANS GROUP

Doing Business As: RED MOUNTAIN CHIRO-MED

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
2044 N RECKER RD
MESA, AZ
ZIP 85215
Phone: (480) 924-7632
Get Directions

EAST VALLEY PHYSICIANS GROUP 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. EAST VALLEY PHYSICIANS GROUP NPI is 1992255798. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Red Mountain Chiro-med.

The provider's business location address is:

2044 N RECKER RD
MESA, AZ
ZIP 85215-744
Phone: (480) 924-7632
Fax: (480) 924-7622

The provider's authorized official is David C Ketchum .
The authorized official title is Owner and has the following contact phone number (480) 924-7632.

The enumeration date for this NPI number is 10/5/2016 and was last updated on 10/5/2016.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor5173ARIZONANo
2111N00000XChiropractor8573ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Z93305MEDICARE UPINARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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