Organization
SOUTHWEST MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT TAYLOR DC (OWNER)
(480) 299-5916
Entity
Organization
Contact information
Practice address
2919 S ELLSWORTH RD STE 101, MESA, AZ 85212-2165
(480) 299-5916
(480) 907-1322
Mailing address
2919 S ELLSWORTH RD STE 101, MESA, AZ 85212-2165
(480) 299-5916
(480) 907-1322
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
—
—
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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