Individual
DR. PAUL JORGE TAVARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1828 E FLORENCE BLVD, STE. 137, CASA GRANDE, AZ 85222-4783
(520) 876-4119
(520) 876-0483
Mailing address
1828 E FLORENCE BLVD, STE. 137, CASA GRANDE, AZ 85222-4783
(520) 876-4119
(520) 876-0483
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7222
AZ
Other
Enumeration date
07/13/2006
Last updated
07/08/2007
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