Organization
PLATINUM MEDICAL GROUP OF ARIZONA LLC
Active
Other names
Life Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IRASELA BORQUEZ C.A., L.M.T. (OFFICE MANAGER/FINANCIAL DIRECTOR)
(480) 460-1399
Entity
Organization
Contact information
Practice address
4722 E RAY RD STE 5, PHOENIX, AZ 85044-6226
(480) 460-1399
(480) 460-1880
Mailing address
4722 E RAY RD STE 5, PHOENIX, AZ 85044-6226
(480) 460-1399
(480) 460-1880
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/19/2015
Last updated
05/07/2026
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