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Organization

LEISURE WORLD CHIROPRACTIC, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TERRY KEITH PETERSON D.C. (OWNER)
(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
10/12/2010
Last updated
10/12/2010
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