Individual
DR. JACK THURSTON WHEATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
840 W UNIVERSITY DR, #7, MESA, AZ 85201-5529
(480) 964-1129
(480) 649-4375
Mailing address
840 W UNIVERSITY DR, #7, MESA, AZ 85201-5529
(480) 964-1129
(480) 649-4375
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0750
AZ
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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