Healthcare Provider Details

I. General information

NPI: 1922144005
Provider Name (Legal Business Name): PAUL EDWARD FRAME DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 04/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3330 S PRICE RD # D-110
TEMPE AZ
85282-7530
US

IV. Provider business mailing address

3330 S PRICE RD # D-110
TEMPE AZ
85282-7530
US

V. Phone/Fax

Practice location:
  • Phone: 480-345-2080
  • Fax: 480-345-2199
Mailing address:
  • Phone: 480-345-2080
  • Fax: 480-345-2199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number5955
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number3555
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: