Individual provider · Type 1 NPI
Mitchell Dean Waller, DC
Chiropractor · Phoenix, AZ
NPI number
1457424467
Active
Practice location
5931 W Hedgehog Pl # B105
Phoenix, AZ 85083-6559
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 8330 (AZ) |
| Independent Medical Examiner Chiropractor | 111NI0013X | 8330 (AZ) |
| Chiropractor | 111N00000X | 038-009141 (IL) |
Chiropractor: 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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About NPI 1457424467
Mitchell Dean Waller, DC's National Provider Identifier is 1457424467, issued on Nov 16, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Phoenix, AZ. The record was last updated on Mar 1, 2026.