Organization
TEAM CHIROMED, INC.
Active
Other names
Team Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER M. WISTORT D.C. (OWNER/OPERATOR)
(602) 866-9285
Entity
Organization
Contact information
Practice address
3434 W GREENWAY RD STE 107, PHOENIX, AZ 85053-3886
(602) 866-9285
Mailing address
3434 W GREENWAY RD STE 107, PHOENIX, AZ 85053-3886
(602) 866-9285
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC4940
AZ
Other
Enumeration date
09/18/2007
Last updated
02/18/2015
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