Healthcare Provider Details

I. General information

NPI: 1134298110
Provider Name (Legal Business Name): CHRIS M. MCDANIEL D.C., C.C.E.P.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 05/01/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8700 E PINNACLE PEAK RD STE 109
SCOTTSDALE AZ
85255-3541
US

IV. Provider business mailing address

20701 N SCOTTSDALE RD STE 107-468
SCOTTSDALE AZ
85255-6413
US

V. Phone/Fax

Practice location:
  • Phone: 480-342-9191
  • Fax: 480-342-9324
Mailing address:
  • Phone: 480-342-9191
  • Fax: 480-342-9324

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number7272
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number581
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: