Individual
DR. PETER M WISTORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3434 W GREENWAY RD STE 107, PHOENIX, AZ 85053-3884
(602) 866-9285
(602) 866-0426
Mailing address
3434 W GREENWAY RD STE 107, PHOENIX, AZ 85053-3886
(602) 866-9285
(602) 866-0426
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4940
AZ
Other
Enumeration date
09/15/2006
Last updated
06/01/2012
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