Tracy B Peruch in Glendale - Chiropractor

Tracy B Peruch - NPI 1124026307

Tracy B Peruch is a Chiropractor in Glendale, Arizona. Tracy B Peruch practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Tracy B Peruch is 1124026307. The last update date is 2009-04-06.

Tracy B Peruch's current location address is 6770 W Deer Valley Rd, Glendale, Arizona. You can contact this provider via phone number 6233621950 and fax number 6235722741. The mailing address for Tracy B Peruch is 6770 W Deer Valley Rd, Glendale, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Tracy B Peruch
Address 6770 W Deer Valley Rd, Glendale, Arizona
Phone Number 6233621950
Fax Number 6235722741
Sole Proprietor Y
Credentials DC

NPI Number Detail

NPI Number 1124026307
Provider Enumeration Date 2005-07-12
Last Updated Date 2009-04-06

Provider Mailing Address Detail

Address 6770 W Deer Valley Rd
City Glendale
State Arizona (AZ)
Post Code 853105956
Phone Number 6233621950
Fax Number 6235722741

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 5710
Definition:
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1Z5304 AZ HEALTH NET
AZ0940160 AZ BLUE CROSS BLUE SHEILD

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FAQs about Tracy B Peruch

What is the unique 10-digit identifier code assigned to Tracy B Peruch by the Centers for Medicare & Medicaid Services?

The Tracy B Peruch has been issued the NPI (National Provider Identifier) 1124026307 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Tracy B Peruch's physical address?

The Tracy B Peruch is physically located at 6770 W Deer Valley Rd, in the city of Glendale, AZ, with the postal code 853105956.

What is Tracy B Peruch's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Tracy B Peruch is Chiropractor, and the taxonomy code that classifies this field of practice is 111N00000X.

When was the Tracy B Peruch's 1124026307 issued?

The Tracy B Peruch's 1124026307 was issued on 2005-07-12.

As of what date was the information pertaining to Tracy B Peruch, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Tracy B Peruch, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-04-06.

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