Individual
DR. PETER S TIMKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2735 W UNION HILLS DR, STE 102, PHOENIX, AZ 85027-5033
(602) 973-1630
(602) 973-1667
Mailing address
2735 W UNION HILLS DR, STE 102, PHOENIX, AZ 85027-5033
(602) 973-1630
(602) 973-1667
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
AZ05748
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z72964
MC ORGANIZATIONAL PROV ID
AZ
01
—
Z72965
MC PROVIDER INDIVIDUAL ID
AZ
Enumeration date
12/14/2007
Last updated
08/09/2012
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