Organization
PIVONKA HEALTH & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY JAMES PIVONKA (PRESIDENT)
(480) 892-0022
Entity
Organization
Contact information
Practice address
1355 S HIGLEY RD STE 103, GILBERT, AZ 85296-4799
(480) 892-0022
Mailing address
1355 S HIGLEY RD STE 103, GILBERT, AZ 85296-4799
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
08/23/2017
Last updated
08/23/2017
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