Healthcare Provider Details

I. General information

NPI: 1639179195
Provider Name (Legal Business Name): ARTHUR ALEXANDER MEJIA DC
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 07/27/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

905 W 16TH ST
YUMA AZ
85364-4550
US

IV. Provider business mailing address

905 W 16TH ST
YUMA AZ
85364-4550
US

V. Phone/Fax

Practice location:
  • Phone: 928-782-5845
  • Fax: 928-782-5847
Mailing address:
  • Phone: 928-782-5845
  • Fax: 928-782-5847

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number7410
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: