Provider Demographics
NPI:1235495755
Name:BARNES, ALAN A (DC)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:A
Last Name:BARNES
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 1:1550 E UNIVERSITY DR STE Q
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85203-8136
Mailing Address - Country:US
Mailing Address - Phone:480-382-4143
Mailing Address - Fax:602-513-7394
Practice Address - Street 1:1550 E UNIVERSITY DR STE Q
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85203-8136
Practice Address - Country:US
Practice Address - Phone:480-382-4143
Practice Address - Fax:480-550-8051
Is Sole Proprietor?:No
Enumeration Date:2012-04-10
Last Update Date:2016-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8403111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor