Individual
DR. IAN THEODORE PUETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4778 E BONANZA RD, GILBERT, AZ 85297-7453
(602) 736-0958
Mailing address
1205 N CHARLES ST, GILBERT, AZ 85233-1916
(602) 736-0958
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8205
AZ
Other
Enumeration date
04/24/2012
Last updated
03/20/2013
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