Individual provider · Type 1 NPI
Jeffrey Grant Mallory, DC
Chiropractor · Mesa, AZ
NPI number
1861663130
Active
Practice location
531 E University Dr
Mesa, AZ 85203-7944
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 0279 (AZ) |
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 1861663130
Jeffrey Grant Mallory, DC's National Provider Identifier is 1861663130, issued on Mar 14, 2008. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Mesa, AZ. The record was last updated on Mar 14, 2008.