Healthcare Provider Details
I. General information
NPI: 1497984025
Provider Name (Legal Business Name): STEVE ANTHONY ARTHUR DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/02/2009
Last Update Date: 07/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
306 E MARINE CORPS DR
HAGATNA GU
96910-5179
US
IV. Provider business mailing address
306 E MARINE CORPS DR
HAGATNA GU
96910-5179
US
V. Phone/Fax
- Phone: 671-477-3472
- Fax: 671-477-3472
- Phone: 671-477-3472
- Fax: 671-477-3472
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | C000023 |
| License Number State | GU |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: