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Individual

JASON CHARLES MORRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
5616 E MCKELLIPS RD, STE. 102, MESA, AZ 85215-2763
(480) 985-5353
(480) 985-6884
Mailing address
5616 E MCKELLIPS RD, STE. 102, MESA, AZ 85215-2763
(480) 985-5353
(480) 985-6884

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6096
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
Z83208
MEDICARE GROUP NUMBER
AZ
Enumeration date
09/26/2006
Last updated
07/03/2014
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