Organization
ORGANIC HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN BROCK JOHANSEN D.C. (OWNER)
(480) 313-1940
Entity
Organization
Contact information
Practice address
855 E BROWN RD STE 10, MESA, AZ 85203-4949
(480) 313-1940
(480) 999-5708
Mailing address
855 E BROWN RD STE 10, MESA, AZ 85203-4949
(480) 313-1940
(480) 999-5708
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8360
AZ
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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