Individual
DR. BRIAN SELF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4566 E INVERNESS AVE STE 101, MESA, AZ 85206-4633
(480) 832-7846
Mailing address
4566 E INVERNESS AVE STE 101, MESA, AZ 85206-4633
(480) 832-7846
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7702
AZ
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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