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Doc Tracey INC

Chiropractor in Phoenix, AZ. Organization (NPI-2).

NPI number1043658834
StatusActive
Last updated in NPPESJun 13, 2013

Details

NPI
1043658834
Entity type
Organization (NPI-2)
Legal business name
Doc Tracey INC
Organization subpart
No
Enumeration date
Jun 13, 2013
Last updated
Jun 13, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor8265AZYes

Practice location

4332 N 24th St
Phoenix, AZ 85016-6259

Phone 602-368-1047

Mailing address

4332 N 24th St
Phoenix, AZ 85016-6259

Phone 602-368-1047

Authorized official

Tracey A Ryder
Owner/Chiropractor
6023681047

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