Healthcare Provider Details

I. General information

NPI: 1861552879
Provider Name (Legal Business Name): WILLIAM FRANK PHATUROS DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10613 N HAYDEN RD STE J107
SCOTTSDALE AZ
85260-5576
US

IV. Provider business mailing address

4432 E DANBURY RD
PHOENIX AZ
85032-2362
US

V. Phone/Fax

Practice location:
  • Phone: 602-717-7465
  • Fax:
Mailing address:
  • Phone: 602-717-7465
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number7000
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: