MEDICARE: TOYOS CHIROPRACTIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC5383	AZ

General Provider Information

NPI Number	:	1396928941
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOYOS CHIROPRACTIC

Provider Business Mailing Address
First Line	:	2009 W CALLE MARITA
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85085-7077
Country	:	US
Telephone Number	:	602-955-3456
Fax Number	:	602-955-3460

Provider Business Practice Location Address
First Line	:	3920 E INDIAN SCHOOL RD
Second Line	:	STE. 16
City	:	PHOENIX
State	:	AZ
Zip	:	85018-5257
Country	:	US
Telephone Number	:	602-955-3456
Fax Number	:	602-955-3460

Authorized Official
Title or Position	:	OWNER
Name	:	DR. PETER J TOYOS
Credential	:	D.C.
Telephone Number	:	602-955-3456

Provider Enumeration Date	:	12/06/2007
Last Update Date	:	12/06/2007

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Directions to “TOYOS CHIROPRACTIC ” Practice Location

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