Organization
ON THE ROAD CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON LEE MULDER DC (OWNER MANAGER)
(928) 288-9033
Entity
Organization
Contact information
Practice address
4511 MAIN ST, JOSEPH CITY, AZ 86032
(928) 288-9033
Mailing address
4511 MAIN ST, JOSEPH CITY, AZ 86032
(928) 288-9033
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
09/24/2010
Last updated
09/24/2010
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