Organization
AZ CHIROPRACTIC AND PHYSICAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY HIRST (AUTHORIZED OFFICIAL)
(480) 899-9923
Entity
Organization
Contact information
Practice address
3570 S VAL VISTA DR STE 110, GILBERT, AZ 85297-7327
(480) 899-9923
Mailing address
3570 S VAL VISTA DR STE 110, GILBERT, AZ 85297-7327
(480) 899-9923
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
04/18/2024
Last updated
04/18/2024
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