Provider Demographics
NPI:1043264187
Name:MUSCARELLA, BRION DAVID (DC)
Entity type:Individual
Prefix:
First Name:BRION
Middle Name:DAVID
Last Name:MUSCARELLA
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 1:530 N ESTRELLA PKWY
Mailing Address - Street 2:STE. C-1
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85338-4137
Mailing Address - Country:US
Mailing Address - Phone:623-932-9211
Mailing Address - Fax:623-932-9210
Practice Address - Street 1:530 N ESTRELLA PKWY
Practice Address - Street 2:STE. C-1
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85338-4137
Practice Address - Country:US
Practice Address - Phone:623-932-9211
Practice Address - Fax:623-932-9210
Is Sole Proprietor?:No
Enumeration Date:2006-05-22
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7681111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor