Healthcare Provider Details
I. General information
NPI: 1750653432
Provider Name (Legal Business Name): FIGA CHIROPRACTIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/27/2012
Last Update Date: 01/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
16515 S 40TH ST STE. 133
PHOENIX AZ
85048-0558
US
IV. Provider business mailing address
16515 S 40TH ST STE. 133
PHOENIX AZ
85048-0558
US
V. Phone/Fax
- Phone: 480-753-5999
- Fax: 480-704-5874
- Phone: 480-753-5999
- Fax: 480-704-5874
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 7960 |
| License Number State | AZ |
VIII. Authorized Official
Name: DR.
LESLIE
PALMER
FIGA
Title or Position: DOCTOR/OWNER
Credential: D.C.
Phone: 480-753-5999