Organization · NPI-2

American Family Chiropractic & Rehab Of Peoria LLC

Chiropractor · Peoria, AZ

NPI number1205060647
StatusActive
Last updated in NPPESJun 20, 2012

Details

NPI
1205060647
Entity type
Organization (NPI-2)
Legal business name
American Family Chiropractic & Rehab Of Peoria LLC
Organization subpart
No
Enumeration date
May 13, 2009
Last updated
Jun 20, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor––Yes

Practice location

15256 N 75th Ave
Suite 360
Peoria, AZ 85381-4760

Phone 480-726-2287

Mailing address

1839 S Alma School Rd
Ste 354
Mesa, AZ 85210-3023

Authorized official

Josh Bock
Owner
4807262287

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Chiropractor providers in Peoria, AZ