Organization
SAN TAN MOUNTAIN CHIROPRACTIC AND REHAB, LLC
Active
Other names
AFC CHIROPRACTIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN WALL DC (OWNER)
(480) 882-2222
Entity
Organization
Contact information
Practice address
270 E HUNT HWY STE A-2, SAN TAN VALLEY, AZ 85143-4962
(480) 882-2222
(480) 882-2220
Mailing address
1839 S ALMA SCHOOL RD, SUITE 354, MESA, AZ 85210-3023
(480) 726-2287
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z136595
MEDICARE PTAN
AZ
Enumeration date
09/12/2008
Last updated
06/20/2012
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