Provider Demographics
NPI:1134545833
Name:DIMARCO, MICHAEL II (DC)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:DIMARCO
Suffix:II
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 1:45 CASTLE ROCK RD STE 3
Mailing Address - Street 2:
Mailing Address - City:SEDONA
Mailing Address - State:AZ
Mailing Address - Zip Code:86351-8806
Mailing Address - Country:US
Mailing Address - Phone:928-254-7099
Mailing Address - Fax:
Practice Address - Street 1:45 CASTLE ROCK RD STE 3
Practice Address - Street 2:
Practice Address - City:SEDONA
Practice Address - State:AZ
Practice Address - Zip Code:86351-8806
Practice Address - Country:US
Practice Address - Phone:928-254-7099
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-05
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ9145111N00000X
NJ38MC00709900111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor