Organization
ARIZONA INTEGRATIVE MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANNON PAGE WATT (OWNER, CEO)
(801) 580-9690
Entity
Organization
Contact information
Practice address
14424 S CANVASBACK LN, BLUFFDALE, UT 84065-1762
(801) 580-9690
Mailing address
980 E PECOS RD STE 3, CHANDLER, AZ 85225-2438
(801) 580-9690
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/15/2025
Last updated
02/15/2025
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