Provider Demographics
NPI:1760865026
Name:ELREY, ARTHUR WILLIAM III (DC)
Entity type:Individual
Prefix:
First Name:ARTHUR
Middle Name:WILLIAM
Last Name:ELREY
Suffix:III
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 1:4838 E BASELINE RD STE 122
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85206-4675
Mailing Address - Country:US
Mailing Address - Phone:480-659-2277
Mailing Address - Fax:480-659-4531
Practice Address - Street 1:4838 E BASELINE RD STE 122
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206
Practice Address - Country:US
Practice Address - Phone:480-832-5777
Practice Address - Fax:480-584-4046
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-06
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8482111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ211161Medicaid