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Individual

MR. MATTHEW JAMES EMMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1050 E RAY RD STE 4A, CHANDLER, AZ 85225-1777
(480) 659-2000
(480) 659-3201
Mailing address
5568 S FORT APACHE RD, LAS VEGAS, NV 89148-3602
(623) 399-8606
(623) 399-9958

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7922
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
Z125916
MEDICARE PTAN
AZ
01
Z125978
MEDICARE GROUP PTAN
AZ
Enumeration date
05/22/2008
Last updated
12/12/2025
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