Individual
DR. ALISA M WASSERMAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
725 W ELLIOT RD, SUITE #115, GILBERT, AZ 85233-5301
(480) 545-0000
(480) 545-7615
Mailing address
725 W ELLIOT RD, SUITE #115, GILBERT, AZ 85233-5301
(480) 545-0000
(480) 545-7615
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5378
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
496978
AHCCCS
AZ
01
—
AZ0241140
BLUE CROSS BLUE SHIELD AZ
AZ
Enumeration date
06/13/2006
Last updated
07/08/2007
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