Provider Demographics
NPI:1093898892
Name:RAY, STEVEN VAUN (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:VAUN
Last Name:RAY
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 1:505 S VAL VISTA DR
Mailing Address - Street 2:SUITE 3
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85204-3215
Mailing Address - Country:US
Mailing Address - Phone:480-830-2225
Mailing Address - Fax:
Practice Address - Street 1:505 S VAL VISTA DR
Practice Address - Street 2:SUITE 3
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85204-3215
Practice Address - Country:US
Practice Address - Phone:480-830-2225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4087111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor