Provider Demographics
NPI:1548787674
Name:CORBELL, MOSES (DC)
Entity Type:Individual
Prefix:DR
First Name:MOSES
Middle Name:
Last Name:CORBELL
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 1:9180 E TALKING STICK WAY STE F9
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85250-8510
Mailing Address - Country:US
Mailing Address - Phone:480-744-6565
Mailing Address - Fax:
Practice Address - Street 1:9180 E TALKING STICK WAY STE F9
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85250-8510
Practice Address - Country:US
Practice Address - Phone:480-744-6565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD10039703111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor