Organization
TRIAD CHIROPRACTIC & REHABILITATION CLINICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN J BACA DC (OWNER/PHYSICIAN)
(480) 413-0586
Entity
Organization
Contact information
Practice address
4515 S. MCCLINTOCK DRIVE, SUITE 120, TEMPE, AZ 85282-7382
(480) 413-0586
(480) 413-0586
Mailing address
2745 S ALMA SCHOOL RD STE 2, CHANDLER, AZ 85286-4405
(480) 413-0586
(480) 730-0487
Taxonomy
Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
5837
AZ
111NI0013X
Independent Medical Examiner Chiropractor
Primary
AZ5837
AZ
Other
Enumeration date
03/26/2010
Last updated
12/04/2017
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