Provider Demographics
NPI:1407923683
Name:ARAGON, RICHARD J (DC)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:J
Last Name:ARAGON
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 1:150 S CAMINO SECO STE 121
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85710-4471
Mailing Address - Country:US
Mailing Address - Phone:520-290-8892
Mailing Address - Fax:520-290-8892
Practice Address - Street 1:150 S CAMINO SECO
Practice Address - Street 2:SUITE 121A
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85710-4471
Practice Address - Country:US
Practice Address - Phone:520-290-8892
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5206111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ350038785OtherCHIROPRACTOR
AZAZ0240790OtherCHIROPRACTOR
AZ28100958OtherCHIROPRACTOR
AZ350038785OtherCHIROPRACTOR
AZAZ0240790OtherCHIROPRACTOR