Healthcare Provider Details

I. General information

NPI: 1659419646
Provider Name (Legal Business Name): ALLEN ARIA DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/02/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7100 E LINCOLN DR D223
SCOTTSDALE AZ
85253
US

IV. Provider business mailing address

815 N HAYDEN RD UNIT A15
SCOTTSDALE AZ
85257-4400
US

V. Phone/Fax

Practice location:
  • Phone: 480-609-4244
  • Fax:
Mailing address:
  • Phone: 480-236-9747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number7438
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: