Individual
DR. JAY RONALD WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
436 W 6TH ST, MESA, AZ 85201-4905
(480) 964-5455
(480) 964-5455
Mailing address
436 W 6TH ST, MESA, AZ 85201-4905
(480) 964-5455
(480) 964-5455
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2036
AZ
Other
Enumeration date
08/06/2007
Last updated
08/06/2007
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