Organization
TRICHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PETERSON DC (OWNER CHIROPRACTOR)
(480) 632-6632
Entity
Organization
Contact information
Practice address
1520 W WARNER RD STE 108, GILBERT, AZ 85233-7043
(480) 632-6632
(480) 632-6634
Mailing address
1520 W WARNER RD STE 108, GILBERT, AZ 85233-7043
(480) 632-6632
(480) 632-6634
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7475
AZ
Other
Enumeration date
06/21/2007
Last updated
08/22/2020
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