MARIO MANUEL PORTILLO

PHOENIX, AZ
NPI1770007361
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy111N00000X Chiropractor
(Licence: AZ  8652)
Additional Taxonomies111NR0400X 
(Licence: AZ  8652)
Enumeration Date2017-07-26
Last Update Date2023-02-28
Business Address
Dr. MARIO MANUEL PORTILLO DC
20860 N TATUM BLVD STE 290
PHOENIX, AZ 85050-4282
Phone number: 480-563-1144
Mailing Address
Dr. MARIO MANUEL PORTILLO DC
1839 S ALMA SCHOOL RD STE 354
MESA, AZ 85210-3028
Phone number: 480-726-2287
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