Individual
MATTHEW KOELLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3101 N CENTRAL AVE STE 183, PHOENIX, AZ 85012-3616
(480) 525-7075
Mailing address
25605 N 164TH AVE, SURPRISE, AZ 85387-4504
(480) 943-8400
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
9346
AZ
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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