Mitchell Dean Waller

D.C. | Chiropractor | 26+ years Exp



Medicare Enrolled
 5931 W Hedgehog Pl # B105, Phoenix
    Arizona, 85083-6559

 309-255-2905    Maps & Directions
Mitchell Dean Waller is a Phoenix, Arizona based chiropractor with 26 years of experience in General Chiropractic. He completed his graduation from Logan College Of Chiropractic in 2000. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mitchell Dean Waller as General Chiropractic is 8330 in Arizona.
Mitchell Dean Waller is qualified as a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Complete Profile:
Mitchell Dean Waller speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Specialization: General Chiropractic
Credentials: D.C.
Experience: 26+ years
Medical School Attended:Logan College Of Chiropractic
Graduation Year:2000
Gender:Male
Accepts Medicare Assignment:Yes
Practice Address:5931 W Hedgehog Pl # B105, Phoenix,
Arizona, 85083-6559
Phone:309-255-2905
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 3870481583
Enrollment ID: I20140602001724
NPI Number: 1457424467
NPI Enumeration Date: 16 Nov, 2006
NPI Last Update On: 01 Mar, 2026
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mitchell Dean Waller are as mentioned below.
License NumberSpecializationStateStatus
8330Chiropractor ArizonaPrimary
8330Independent Medical Examiner Chiropractic ArizonaSecondary
038-009141 General Chiropractic IllinoisSecondary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Mitchell Dean Waller is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Estrella Pkwy Medical Center Llc (6002067410)2
Other Medical Identifiers:
Other legacy medical identifiers associated with Mitchell Dean Waller such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
05527512OtherIllinoisBCBS
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 5931 W Hedgehog Pl # B105,
Phoenix, Arizona
Zip: 85083-6559
Phone Number: 309-255-2905
Fax Number: --
Patients can reach Mitchell Dean Waller at 5931 W Hedgehog Pl # B105, Phoenix, Arizona or can call to book an appointment on 309-255-2905.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 March, 2026.