Peter M Wistort is a Chiropractor in Phoenix, Arizona. Peter M Wistort practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Peter M Wistort is 1932205549. The last update date is 2012-06-01.
Peter M Wistort's current location address is 3434 W Greenway Rd Ste 107, Phoenix, Arizona. You can contact this provider via phone number 6028669285 and fax number 6028660426. The mailing address for Peter M Wistort is 3434 W Greenway Rd Ste 107, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
Provider Name | Peter M Wistort |
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Address | 3434 W Greenway Rd Ste 107, Phoenix, Arizona |
Phone Number | 6028669285 |
Fax Number | 6028660426 |
Sole Proprietor | Y |
Credentials | D.C. |
NPI Number Detail
NPI Number | 1932205549 |
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Provider Enumeration Date | 2006-09-15 |
Last Updated Date | 2012-06-01 |
Provider Mailing Address Detail
Address | 3434 W Greenway Rd Ste 107 |
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City | Phoenix |
State | Arizona (AZ) |
Post Code | 850533886 |
Phone Number | 6028669285 |
Fax Number | 6028660426 |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
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Taxonomy | 111N00000X |
Licence No | 4940 |
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 |
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What is the unique provider identifier assigned to Peter M Wistort?
The Peter M Wistort has been issued the NPI (National Provider Identifier) 1932205549 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Peter M Wistort?
The Peter M Wistort is physically situated at 3434 W Greenway Rd Ste 107, in the city of Phoenix, state of AZ, with the postal code 850533886.
What is Peter M Wistort's area of expertise and its corresponding taxonomy classification?
The Peter M Wistort's field of specialization is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1932205549 to Peter M Wistort?
The Peter M Wistort received its 1932205549 assignment from the Centers for Medicare & Medicaid Services on 2006-09-15.
As of what date was the information regarding Peter M Wistort, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Peter M Wistort, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-06-01.