| |
2947 Hwy 260, 3, Overgaard, AZ 85933 | |
(928) 535-6421 | |
(928) 535-6287 |
Full Name | |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 2947 Hwy 260, Overgaard, Arizona |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043425622 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 5288 (Arizona) | Primary |
Mailing Address | Practice Location Address |
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Po Box 340, Overgaard, AZ 85933-0340 Ph: (928) 535-6421 | 2947 Hwy 260, 3, Overgaard, AZ 85933 Ph: (928) 535-6421 |
Dr. Marshall M. Willis, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2947 Hwy 260, #3, Overgaard, AZ 85933 Phone: 928-535-6421 |