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Individual

DR. JASON CONVISER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
4215 N. BROWN AVE. STE. D, SCOTTSDALE, AZ 85251
(480) 551-2020
(480) 551-2138
Mailing address
9110 E. HACKAMORE DR., SCOTTSDALE, AZ 85255
(480) 513-8947

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5662
AZ

Other

Enumeration date
12/08/2006
Last updated
07/08/2007
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