Individual
DR. JEFFREY GRANT MALLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
531 E UNIVERSITY DR, MESA, AZ 85203-7944
(480) 962-0710
Mailing address
531 E UNIVERSITY DR, MESA, AZ 85203-7944
(480) 962-0710
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0279
AZ
Other
Enumeration date
03/14/2008
Last updated
03/14/2008
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