Individual
DR. TERRY LEE ELDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
7440 W CACTUS RD, PEORIA, AZ 85381-9534
(623) 878-9388
(623) 878-9114
Mailing address
7440 W CACTUS RD, PEORIA, AZ 85381-9534
(623) 878-9388
(623) 878-9114
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4094
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00160715
RRMEDICARE
AZ
Enumeration date
04/19/2006
Last updated
05/14/2008
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