Provider Demographics
NPI:1699725820
Name:ROBB, MICHAEL JAMES (DC)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:JAMES
Last Name:ROBB
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 1:7615 W THUNDERBIRD RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85381-6083
Mailing Address - Country:US
Mailing Address - Phone:623-889-0387
Mailing Address - Fax:623-889-7411
Practice Address - Street 1:7615 W THUNDERBIRD RD
Practice Address - Street 2:SUITE 103
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85381-6083
Practice Address - Country:US
Practice Address - Phone:623-889-0387
Practice Address - Fax:623-889-7411
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2007-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7152111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ101144OtherGROUP
AZ101144OtherGROUP
AZU87233Medicare UPIN