Organization
OPTIMUM CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY SCOTT BALLITCH D.C. (OWNER)
(623) 979-7100
Entity
Organization
Contact information
Practice address
8765 W KELTON LN, B-4 SUITE 150, PEORIA, AZ 85382-3584
(623) 979-7100
(623) 979-3577
Mailing address
8765 W KELTON LN, B-4 SUITE 150, PEORIA, AZ 85382-3584
(623) 979-7100
(623) 979-3577
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8620
AZ
Other
Enumeration date
03/28/2017
Last updated
05/10/2017
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