Organization
ARIZONA INJURY CENTER PLLC
Active
Other names
Regal DME
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG PETERSON DC (MEMBER MANAGER)
(480) 639-8833
Entity
Organization
Contact information
Practice address
21582 S ELLSWORTH LOOP RD STE 120, QUEEN CREEK, AZ 85142-7882
(480) 987-5091
Mailing address
21283 E MISTY LN, QUEEN CREEK, AZ 85142-5064
(480) 639-8833
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/04/2019
Last updated
10/04/2019
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