Organization
MOUNTAINSIDE WELLNESS CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN SCOTT METTHAM D.C., P.T. (VICE PRESIDENT)
(480) 940-7444
Entity
Organization
Contact information
Practice address
16515 S 40TH ST STE 129, PHOENIX, AZ 85048-0560
(480) 940-7444
Mailing address
4909 E CHANDLER BLVD STE 502, PHOENIX, AZ 85048-0863
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7077
AZ
208100000X
Physical Medicine & Rehabilitation Physician
3751
AZ
Other
Enumeration date
03/26/2008
Last updated
11/08/2023
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