Provider Demographics
NPI:1073630042
Name:MCLAREN, MUNIRIH (DC)
Entity Type:Individual
Prefix:
First Name:MUNIRIH
Middle Name:
Last Name:MCLAREN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4626 E FORT LOWELL RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-1184
Mailing Address - Country:US
Mailing Address - Phone:520-906-4488
Mailing Address - Fax:
Practice Address - Street 1:4626 E FORT LOWELL RD
Practice Address - Street 2:SUITE 101
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-1184
Practice Address - Country:US
Practice Address - Phone:520-906-4488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5589111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor