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Individual

JEFFERY B STIRES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
13601 N 19TH AVE, SUITE 1, PHOENIX, AZ 85029-1672
(602) 993-5458
(602) 993-5402
Mailing address
13601 N 19TH AVE, SUITE 1, PHOENIX, AZ 85029-1672
(602) 993-5458
(602) 993-5402

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5131
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1285996843
NPI
AZ
Enumeration date
05/03/2006
Last updated
06/11/2012
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