Provider Demographics
NPI:1487741781
Name:PALMER, ALAN WALTER (DC)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:WALTER
Last Name:PALMER
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 1:8600 E SHEA BLVD
Mailing Address - Street 2:SUITE #110
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-6683
Mailing Address - Country:US
Mailing Address - Phone:480-443-2584
Mailing Address - Fax:480-443-8171
Practice Address - Street 1:8600 E SHEA BLVD
Practice Address - Street 2:SUITE #110
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6683
Practice Address - Country:US
Practice Address - Phone:480-443-2584
Practice Address - Fax:480-443-8171
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4078111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor