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General NPI Number Information
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NPI Number | 1578076188
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Entity Type | Organization
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Legal Business Name | TRUE HEALTH MEDICAL LLC
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Dates
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Enumeration Date | 11/06/2017
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Last Update Date | 11/06/2017
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Provider Practice Location Address
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Address Line | 4828 S VAL VISTA DR
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City | GILBERT
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State | AZ
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Zip | 85298-7323
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Country | US
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Telephone | 480-802-9977
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 64568
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City | PHOENIX
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State | AZ
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Zip | 85082-4568
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | JASON MULDER
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Credential |
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Telephone | 480-802-9977
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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 | 7810
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License Number State | AZ
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