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Individual

DR. AMMON ALLEN OPIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
110 S MESA DR STE 4, MESA, AZ 85210-1458
(480) 833-8863
(480) 464-5516
Mailing address
110 S MESA DR STE 4, MESA, AZ 85210-1458
(480) 833-8863
(480) 464-5516

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8802
AZ
208100000X
Physical Medicine & Rehabilitation Physician
5373
AZ

Other

Enumeration date
04/15/2019
Last updated
04/15/2019
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