Healthcare Provider Details

I. General information

NPI: 1639359581
Provider Name (Legal Business Name): M. MORRIS FAMILY WELLNESS CENTER, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2007
Last Update Date: 11/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11518 E APACHE TRL #119
APACHE JUNCTION AZ
85220-3551
US

IV. Provider business mailing address

11519 E APACHE TRL #119
APACHE JUNCTION AZ
85220-3522
US

V. Phone/Fax

Practice location:
  • Phone: 480-357-3695
  • Fax: 480-357-3698
Mailing address:
  • Phone: 480-357-3695
  • Fax: 480-357-3698

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number7184
License Number StateAZ

VIII. Authorized Official

Name: DR. MICHAEL P. MORRIS
Title or Position: OWNER/PRESIDENT
Credential: D.C.
Phone: 480-357-3695