| Team Chiropractic | |
|
3434 W Greenway Rd Ste 107, Phoenix, AZ 85053-3886 | |
| (602) 866-9285 | |
| Not Available |
| Full Name | Team Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 3434 W Greenway Rd Ste 107, Phoenix, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780870204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC4940 (Arizona) | Primary |
| Provider Name | Peter M Wistort |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1932205549 PECOS PAC ID: 1052339447 Enrollment ID: I20051103000999 |
| Mailing Address | Practice Location Address |
|---|---|
| Team Chiropractic 3434 W Greenway Rd Ste 107, Phoenix, AZ 85053-3886 Ph: (602) 866-9285 | Team Chiropractic 3434 W Greenway Rd Ste 107, Phoenix, AZ 85053-3886 Ph: (602) 866-9285 |
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