Individual
DR. MARK WILLIAM DARDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N.D., ED.D., D.P.T.
Contact information
Practice address
15424 S 1ST AVE, PHOENIX, AZ 85045-0400
(480) 460-0669
Mailing address
15424 S 1ST AVE, PHOENIX, AZ 85045-0400
(480) 460-0669
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
16-1548
AZ
175F00000X
Naturopath
21-00039
KS
225100000X
Physical Therapist
11-00596
KS
225100000X
Physical Therapist
8414
AZ
2251H1200X
Hand Physical Therapist
9310000379
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
456071
—
AZ
Enumeration date
10/16/2006
Last updated
05/10/2019
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