Individual
DR. PETULA MONIQUE GILLINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
3130 E BASELINE RD STE 107, MESA, AZ 85204-7290
(480) 345-1980
(480) 926-1721
Mailing address
1839 S ALMA SCHOOL RD STE 354, MESA, AZ 85210-3028
(480) 726-2287
(888) 316-9272
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6097
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01122517
RAILROAD PTAN
AZ
Enumeration date
03/05/2008
Last updated
02/28/2023
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