Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 7914 | AZ |
NPI | 1003833674 |
---|---|
Provider Name | Joseph P Andris |
First Address | Tucson, AZ 85741-4529 |
Second Address | Tucson, AZ 85741-4529 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 14/05/2008 |