SOUTH MOUNTAIN REHABILITATION P.C. NPI 1124176342

NPI Information

SOUTH MOUNTAIN REHABILITATION P.C. is a chiropractor in Phoenix, AZ. The provider is 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 interrelationship with other body systems. SOUTH MOUNTAIN REHABILITATION P.C. NPI is 1124176342. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4804 E CHANDLER BLVD
106
PHOENIX, AZ
ZIP 85048-857
Phone: (480) 893-6020
Fax: (480) 785-5161

The provider's authorized official is Peter Vincent Pakulis .
The authorized official title is President and has the following contact phone number (480) 759-1082.

The enumeration date for this NPI number is 1/5/2007 and was last updated on 1/3/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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