Organization
PALO VERDE LIFE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID WILLIAM GRIESEDIECK D.C. (PRESIDENT)
(480) 820-3212
Entity
Organization
Contact information
Practice address
2421 E SOUTHERN AVE, SUITE 5, TEMPE, AZ 85282-7612
(480) 820-3212
Mailing address
2421 E SOUTHERN AVE, SUITE 5, TEMPE, AZ 85282-7612
(480) 820-3212
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4103
AZ
Other
Enumeration date
04/11/2007
Last updated
08/22/2020
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