Provider Demographics
NPI:1700940673
Name:ARAGON, PHILIP ABRAHAM (DC)
Entity Type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:ABRAHAM
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 1:4007 N FLOWING WELLS RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85705-2404
Mailing Address - Country:US
Mailing Address - Phone:520-293-1810
Mailing Address - Fax:520-293-1814
Practice Address - Street 1:4007 N FLOWING WELLS RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85705-2404
Practice Address - Country:US
Practice Address - Phone:520-293-1810
Practice Address - Fax:520-293-1814
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2007-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7072111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ70522Medicare PIN
AZU84951Medicare UPIN