Individual
DR. DANIEL W TALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
30 ACOMA BLVD S STE 203, LAKE HAVASU CITY, AZ 86403-5920
(928) 680-9500
(928) 680-9500
Mailing address
1116 KIBBEY DR, LAKE HAVASU CITY, AZ 86404-2155
(928) 855-9605
(928) 680-9505
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7202
AZ
Other
Enumeration date
10/12/2006
Last updated
10/26/2021
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