| Atlas Spine Center Llc | |
|
1919 E. Mckellips Rd. Suite 106 Mesa AZ 85203-2855 | |
| (480) 833-0302 | |
| (480) 833-0904 |
| Full Name | Atlas Spine Center Llc |
|---|---|
| Speciality | Chiropractor |
| Location | 1919 E. Mckellips Rd., Mesa, Arizona |
| Authorized Official Name and Position | Dan H Froerer (MANAGER) |
| Authorized Official Contact | 4808330302 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlas Spine Center Llc 1919 E. Mckellips Rd. Suite 106 Mesa AZ 85203-2855 Ph: (480) 833-0302 | Atlas Spine Center Llc 1919 E. Mckellips Rd. Suite 106 Mesa AZ 85203-2855 Ph: (480) 833-0302 |
| NPI Number | 1326216391 |
|---|---|
| Provider Enumeration Date | 02/13/2008 |
| Last Update Date | 02/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326216391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1472 (Arizona) | Secondary |
| 225100000X | Physical Therapist | 4477 (Arizona) | Secondary |
| 111N00000X | Chiropractor | 7548 (Arizona) | Primary |
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