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General NPI Number Information
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NPI Number | 1407930779
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Entity Type | Individual
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Provider Name | WILLIAM JOSEPH MINARD D.C.
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Gender | Male
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 08/20/2019
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Provider Practice Location Address
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Address Line | 1785 W STATE ROUTE 89A STE 2H
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City | SEDONA
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State | AZ
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Zip | 86336-5576
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Country | US
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Telephone | 928-282-7591
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Fax | 928-282-7347
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Provider Business Mailing Address
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Address Line | PO BOX 3608
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City | SEDONA
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State | AZ
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Zip | 86340-3608
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Country | US
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Telephone | 928-282-7591
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Fax | 928-282-7347
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3532
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License Number State | AZ
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