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NPI Code Detail

MEDICARE: DEREK C PRICE D.C.

MEDICARE:   DEREK C PRICE  D.C.
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
1111N00000XChiropractor7259AZ

General Provider Information

NPI Number : 1891846184
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEREK C PRICE D.C.
Provider Business Mailing Address
First Line : PO BOX 64568
Second Line :
City : PHOENIX
State : AZ
Zip : 85082-4568
Country : US
Telephone Number : 318-424-4008
Fax Number : 855-230-1466
Provider Business Practice Location Address
First Line : 3530 S VAL VISTA DR STE B105
Second Line :
City : GILBERT
State : AZ
Zip : 85297-7318
Country : US
Telephone Number : 480-899-4333
Fax Number : 480-899-7219
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2007
Last Update Date : 04/29/2019

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Directions to “ DEREK C PRICE D.C.” Practice Location

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