Individual
TOM OHARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3035 S ELLSWORTH RD STE 109, MESA, AZ 85212-2136
(480) 832-3318
(480) 621-7208
Mailing address
3035 S ELLSWORTH RD, 109, MESA, AZ 85212-2160
(480) 832-3318
(480) 621-7208
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC 4914
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0236730
BCBS
AZ
Enumeration date
08/02/2006
Last updated
10/10/2007
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