Provider Demographics
NPI:1306060314
Name:STONE, MICHAEL JOSEPH (DC,DABCI)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:JOSEPH
Last Name:STONE
Suffix:
Gender:M
Credentials:DC,DABCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9100 E TANQUE VERDE RD
Mailing Address - Street 2:STE 140
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85749-8173
Mailing Address - Country:US
Mailing Address - Phone:520-749-2929
Mailing Address - Fax:520-749-8391
Practice Address - Street 1:9100 E TANQUE VERDE RD
Practice Address - Street 2:STE 140
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85749-8173
Practice Address - Country:US
Practice Address - Phone:520-749-2929
Practice Address - Fax:520-749-8391
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4880111N00000X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ0241060OtherBLUE CROSS BLUE SHIELD
AZAZ0241060OtherBLUE CROSS BLUE SHIELD