Individual
DR. TIMOTHY JOHN PERUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
11030 N TATUM BLVD STE 101, PHOENIX, AZ 85028-6073
(602) 992-6200
(602) 992-6206
Mailing address
11030 N TATUM BLVD STE 101, PHOENIX, AZ 85028-6073
(602) 992-6200
(602) 992-6206
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5635
AZ
Other
Enumeration date
08/30/2006
Last updated
11/05/2021
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