Organization
PALISADES FAMILY CHIROPRACTIC WELLNESS CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA MARIE MONTEZ-WOOD DC (PRESIDENT)
(480) 837-4444
Entity
Organization
Contact information
Practice address
16930 E PALISADES BLVD STE 104, FOUNTAIN HILLS, AZ 85268-4006
(480) 837-4444
(480) 837-4874
Mailing address
16930 E PALISADES BLVD STE 104, FOUNTAIN HILLS, AZ 85268-4006
(480) 837-4444
(480) 837-4874
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5223
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0936000
BLUE CROSS BLUE SHIELD #
AZ
01
—
Z71314
MEDICARE ID - GROUP
AZ
Enumeration date
06/09/2005
Last updated
04/04/2022
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