Provider Demographics
NPI:1386481216
Name:FLEMING, ELLIOTT (DC)
Entity type:Individual
Prefix:DR
First Name:ELLIOTT
Middle Name:
Last Name:FLEMING
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:904 N MCQUEEN RD STE 103
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85233-2285
Mailing Address - Country:US
Mailing Address - Phone:480-207-3344
Mailing Address - Fax:
Practice Address - Street 1:904 N MCQUEEN RD STE 103
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85233-2285
Practice Address - Country:US
Practice Address - Phone:480-207-3344
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-09
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ9361111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor