Organization
HEALTH SOURCE OF WEST MESA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER MULLER (CEO)
(480) 610-2666
Entity
Organization
Contact information
Practice address
1116 S DOBSON RD, STE. 126, MESA, AZ 85202-3918
(480) 610-2666
(480) 610-2667
Mailing address
1116 S DOBSON RD, STE. 126, MESA, AZ 85202-3918
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
AZ
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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