Organization
LEISURE WORLD PLAZA CHIROPRACTIC
Active
Other names
Leisure World Plaza Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY KEITH PETERSON D.C. (CHIROPRACTIC PHYSICIAN)
(480) 396-2484
Entity
Organization
Contact information
Practice address
6750 E BROADWAY RD, MESA, AZ 85206-1700
(480) 396-2484
(480) 830-2790
Mailing address
6750 E BROADWAY RD, MESA, AZ 85206-1700
(480) 396-2484
(480) 830-2790
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2065
AZ
Other
Enumeration date
12/21/2006
Last updated
02/26/2013
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