Individual
DR. DEREK P PRUNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5233 E SOUTHERN AVE, STE 104, MESA, AZ 85206-3628
(480) 785-4959
(480) 785-4827
Mailing address
5233 E SOUTHERN AVE, SUITE 104, MESA, AZ 85206-3625
(480) 830-2882
(480) 830-2881
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7918
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9222584
CIGNA
AZ
Enumeration date
11/21/2005
Last updated
04/17/2017
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