Individual
TYLER REED POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
7575 W PEORIA AVE, SUITE A 106, PEORIA, AZ 85345-5873
(623) 873-4444
(623) 979-8515
Mailing address
7575 W PEORIA AVE, SUITE A 106, PEORIA, AZ 85345-5873
(623) 873-4444
(623) 979-8515
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4767
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2583988
AETNA
AZ
01
—
AZ 0239560
BLUE CROSS
AZ
Enumeration date
05/15/2007
Last updated
02/04/2008
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