Organization
PETER CROCKER DC INC.
Active
Other names
Tatum Crossing Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER D CROCKER D.C. (OWNER)
(480) 513-8900
Entity
Organization
Contact information
Practice address
29834 N CAVE CREEK RD, SUITE B110, CAVE CREEK, AZ 85331-5836
(480) 513-8900
(480) 513-9395
Mailing address
29834 N CAVE CREEK RD, SUITE B110, CAVE CREEK, AZ 85331-5836
(480) 513-8900
(480) 513-9395
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5854
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
73324
MEDICARE GROUP
AZ
Enumeration date
12/17/2007
Last updated
04/08/2008
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