person
Mitchell Dean Waller, DC
Chiropractor in Gilbert, Arizona
NPI 1457424467

Mitchell Dean Waller is a Chiropractor based in Gilbert, AZ. Mitchell Dean Waller practices in Gilbert, AZ and has the professional credentials of DC. The NPI Number for Mitchell Dean Waller is 1457424467 and holds a License No. 038-009141 (Arizona).

The current practice location address for Mitchell Dean Waller is 3530 S Val Vista Dr, Gilbert, AZ and can be reached out via phone at 480-899-4333 and via fax at 480-899-7219.

Location: 3530 S Val Vista Dr, Gilbert, AZ, 85297-7318
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Provider Profile Details
NPI Number
1457424467
Provider Name
Mitchell Dean Waller
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
3530 S Val Vista Dr, Gilbert, AZ, 85297-7318
Phone Number
480-899-4333
Fax Number
480-899-7219
Provider Enumeration Date
11/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05527512 01 IL BCBS
institution
Provider Business Practice Location Address Details
Address
3530 S Val Vista Dr
City
State
Zip
85297-7318
Phone Number
480-899-4333
Fax Number
480-899-7219
person
Provider Business Mailing Address Details
Address
3530 S Val Vista Dr
City
State
Zip
85297-7318
Phone Number
480-899-4333
Fax Number
480-899-7219
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
038-009141 (Illinois)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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