Organization
ADVANCED SPINE AND REHAB PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DAVID CRISMON DC (PARTNER)
(480) 892-1122
Entity
Organization
Contact information
Practice address
4540 E BASELINE RD STE 111, MESA, AZ 85206-4616
(480) 892-1122
(480) 892-2243
Mailing address
4540 E BASELINE RD STE 111, MESA, AZ 85206-4616
(480) 892-1122
(480) 892-2243
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
5447
AZ
111N00000X
Chiropractor
Primary
5639
AZ
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
07/23/2006
Last updated
12/17/2025
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