Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 4893 | AZ |
NPI | 1245391838 |
---|---|
Provider Name | Dr. David W Sipes |
First Address | Scottsdale, AZ 85258-2439 |
Second Address | Scottsdale, AZ 85260-2188 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2006 |
Last Update Date | 08/07/2007 |