Individual
DR. PETER JOSEPH DUFOUR IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C., F.I.A.M.A.
Contact information
Practice address
2390 N ALMA SCHOOL RD, SUITE 115, CHANDLER, AZ 85224-2416
(480) 839-2225
(480) 917-0518
Mailing address
2390 N ALMA SCHOOL RD, SUITE 115, CHANDLER, AZ 85224-2416
(480) 839-2225
(480) 917-0518
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5572
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0932760
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
08/09/2006
Last updated
07/08/2007
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