Individual
DR. CRAIG BRIAN DEFRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4540 E BASELINE RD, SUITE 105, MESA, AZ 85206-4613
(480) 272-8944
(480) 237-5682
Mailing address
4540 E BASELINE RD, SUITE 105, MESA, AZ 85206-4613
(480) 272-8944
(480) 237-5682
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5696
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8358
LICENSE
AZ
Enumeration date
01/21/2011
Last updated
01/02/2014
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