Provider Demographics
NPI:1053362384
Name:DEMERS, THOMAS RAYMOND (DC)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:RAYMOND
Last Name:DEMERS
Suffix:
Gender:M
Credentials:DC
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Mailing Address - Street 1:3414 W UNION HILLS DR
Mailing Address - Street 2:STE-13
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85027-4899
Mailing Address - Country:US
Mailing Address - Phone:623-581-0051
Mailing Address - Fax:623-581-1924
Practice Address - Street 1:3414 W UNION HILLS DR
Practice Address - Street 2:STE-13
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85027-4899
Practice Address - Country:US
Practice Address - Phone:623-581-0051
Practice Address - Fax:623-581-1924
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-12
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ3159111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1Z2755OtherHEALTH NET
AZAZ0085150OtherBLUE CROSS OF ARIZONA
AZ18071204OtherWORKMANS COMPENSATION
AZT41545Medicare UPIN