Individual
DR. TIMOTHY JAMES MUNDERLOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1500 E CEDAR AVE, STE 80, FLAGSTAFF, AZ 86004
(928) 556-0707
(928) 522-8462
Mailing address
1500 E CEDAR AVE, STE 80, FLAGSTAFF, AZ 86004
(928) 556-0707
(928) 522-8462
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
5935
AZ
111NN0400X
Neurology Chiropractor
Primary
1058
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
624131
UNITED HEALTH CARE
—
01
—
AZ0941160
BCBS
AZ
Enumeration date
04/26/2006
Last updated
09/11/2025
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