Organization
EAST VALLEY PHYSICIANS GROUP
Active
Other names
Red Mountain Chiro-Med
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID C KETCHUM DC (OWNER)
(480) 924-7632
Entity
Organization
Contact information
Practice address
2044 N RECKER RD, MESA, AZ 85215-2744
(480) 924-7632
(480) 924-7622
Mailing address
2044 N RECKER RD, MESA, AZ 85215-2744
(480) 924-7632
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
5173
AZ
111N00000X
Chiropractor
Primary
8573
AZ
Other
Enumeration date
10/05/2016
Last updated
10/05/2016
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