Healthcare Provider Details

I. General information

NPI: 1639163603
Provider Name (Legal Business Name): DAVID J HOBBS DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/07/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13802 N. 32ND STREET, SUITE 1
PHOENIX AZ
85032
US

IV. Provider business mailing address

13802 N. 32ND STREET, SUITE 1
PHOENIX AZ
85032
US

V. Phone/Fax

Practice location:
  • Phone: 602-788-3322
  • Fax: 602-824-1238
Mailing address:
  • Phone: 602-788-3322
  • Fax: 602-824-1238

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number6059
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: