Organization
HOPEFUL CHIROPRACTIC LLC
Active
Other names
Fuller Life Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REX DUSTIN FULLER DC (CO OWNER)
(480) 744-0186
Entity
Organization
Contact information
Practice address
1728 S GREENFIELD RD, SUITE 109, MESA, AZ 85206-3485
(480) 744-0186
Mailing address
1728 S GREENFIELD RD, SUITE 109, MESA, AZ 85206-3485
(480) 744-0186
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8466
AZ
Other
Enumeration date
12/27/2016
Last updated
12/27/2016
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