Healthcare Provider Details

I. General information

NPI: 1427398353
Provider Name (Legal Business Name): PURDUM CHIROPRACTIC CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2013
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2711 W US HIGHWAY 70 STE B
THATCHER AZ
85552-5721
US

IV. Provider business mailing address

PO BOX 162
SAFFORD AZ
85548-0162
US

V. Phone/Fax

Practice location:
  • Phone: 928-417-8018
  • Fax:
Mailing address:
  • Phone: 928-417-8018
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number7594
License Number StateAZ

VIII. Authorized Official

Name: DR. ROBYN LEE ANN PURDUM
Title or Position: CEO/PRESIDENT
Credential: DC
Phone: 928-417-8018