Organization
PARKWAY CHIROPRACTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN MICHEELS D.C. (PRESIDENT)
(623) 537-3900
Entity
Organization
Contact information
Practice address
10006 W HAPPY VALLEY RD, SUITE 1210, PEORIA, AZ 85383-1235
(623) 537-3900
(623) 825-6508
Mailing address
8923 W DALEY LN, PEORIA, AZ 85383-1938
(623) 537-3900
(623) 825-6508
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5567
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023133139
INDIVIDUAL NPI
AZ
Enumeration date
12/28/2007
Last updated
12/28/2007
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