Organization
DOC TRACEY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACEY A RYDER DC (OWNER/CHIROPRACTOR)
(602) 368-1047
Entity
Organization
Contact information
Practice address
4332 N 24TH ST, PHOENIX, AZ 85016-6259
(602) 368-1047
Mailing address
4332 N 24TH ST, PHOENIX, AZ 85016-6259
(602) 368-1047
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8265
AZ
Other
Enumeration date
06/13/2013
Last updated
06/13/2013
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