# PODOLAK CHIROPRACTIC CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699015446
- **Authorized official:** TANYA PODOLAK D.C. (CHIROPRACTOR)
- **Authorized official phone:** (623) 687-5428

## Contact information

- **Practice address:** 4131 W THUNDERBIRD RD, PHOENIX, AZ 85053-5341
- **Practice address phone:** (602) 938-8868
- **Practice address fax:** (602) 938-5084
- **Mailing address:** 4131 W THUNDERBIRD RD, PHOENIX, AZ 85053-5341

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 8307 | AZ | Yes |

## Other

- **Enumeration date:** 02/15/2013
- **Last updated:** 02/15/2013