Healthcare Provider Details

I. General information

NPI: 1962539098
Provider Name (Legal Business Name): IRONCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 10/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9070 E. DESERT COVE DR. SUITE B-106
SCOTTSDALE AZ
85260-6228
US

IV. Provider business mailing address

9070 E. DESERT COVE DR. SUITE B-106
SCOTTSDALE AZ
85260-6228
US

V. Phone/Fax

Practice location:
  • Phone: 480-390-9730
  • Fax: 480-483-4655
Mailing address:
  • Phone: 480-390-9730
  • Fax: 480-483-4655

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number7301
License Number StateAZ

VIII. Authorized Official

Name: DR. KEVIN DANIEL SHERMAN
Title or Position: PRESIDENT
Credential: D.C.
Phone: 480-991-2691