Individual
DR. TYSON MAROSTICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5735 E MCKELLIPS RD, STE B-106, MESA, AZ 85215-2875
(610) 906-6164
Mailing address
5735 E MCKELLIPS RD, STE B-106, MESA, AZ 85215-2875
(610) 906-6164
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8541
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
AZ
Other
Enumeration date
01/26/2016
Last updated
07/14/2016
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