Individual
DR. PATRICIA LYNN PIVONKA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1355 S. HIGLEY ROAD STE 102, HIGLEY, AZ 85236-4705
(480) 892-0022
(480) 892-5509
Mailing address
1355 S. HIGLEY ROAD STE 102, HIGLEY, AZ 85236-4705
(480) 892-0022
(480) 892-5509
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
3790
CO
111N00000X
Chiropractor
Primary
5505
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ 0242940
BLUECROSS BLUESHIELD AZ
AZ
Enumeration date
06/15/2006
Last updated
07/08/2007
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