Organization
JAWN, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN GILLEN DC (MANAGER)
(480) 633-3151
Entity
Organization
Contact information
Practice address
235 E WARNER RD, GILBERT, AZ 85296-2972
(480) 633-3151
(480) 383-6076
Mailing address
2040 S. ALMA SCHOOL RD. SUITE 1 PMB 503, CHANDLER, AZ 85286
(480) 633-3151
(480) 383-6076
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
207RS0010X
Sports Medicine (Internal Medicine) Physician
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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