Individual
DR. PAUL LEONARD RIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
100 W. WHITE MOUNTAIN BLVD., LAKESIDE, AZ 85929
(928) 367-4640
(928) 367-5572
Mailing address
100 W. WHITE MOUNTAIN BLVD., LAKESIDE, AZ 85929
(928) 367-4640
(928) 367-5572
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
4205
AZ
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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