Organization
ATLAS SPINE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAN H FROERER D.C. (MANAGER)
(480) 833-0302
Entity
Organization
Contact information
Practice address
1919 E. MCKELLIPS RD., SUITE 106, MESA, AZ 85203-2855
(480) 833-0302
(480) 833-0904
Mailing address
1919 E. MCKELLIPS RD., SUITE 106, MESA, AZ 85203-2855
(480) 833-0302
(480) 833-0904
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7548
AZ
207Q00000X
Family Medicine Physician
1472
AZ
225100000X
Physical Therapist
4477
AZ
Other
Enumeration date
02/13/2008
Last updated
02/13/2008
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