Individual
MARK WIREMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1432 N 7TH ST, PHOENIX, AZ 85006-2524
(602) 222-9595
Mailing address
1432 N 7TH ST, PHOENIX, AZ 85006-2524
(602) 222-9595
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7115
AZ
Other
Enumeration date
05/17/2007
Last updated
05/14/2008
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