Ian Theodore Puetz D.C.

NPI 1063770345 - Chiropractor - 111N00000X

NPI Details
NPI 1063770345
Gender Male
Enumeration Date 04/24/2012
Last Updated 03/20/2013
Entity Type Individual
Active Over 4 years ago
Practice Location
4778 E BONANZA RD
GILBERT AZ, 85297-7453, US
Phone (602) 736-0958
Fax
Business Location
1205 N CHARLES ST
GILBERT AZ, 85233-1916, US
Phone (602) 736-0958
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Arizona
License Number 8205
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According to our database, Dr. Ian Theodore Puetz D.C. NPI is 1063770345, taxonomy code is 111N00000X and license number is 8205, license state is located at Arizona. Ian Theodore Puetz D.C. physically located at 4778 E Bonanza Rd, Gilbert AZ, 85297-7453. NPI Number Ian Theodore Puetz D.C. has the Individual type.

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1063770345 NPI number is provided on an as is basis without warranty of any kind. 1063770345 is maintained by the National Plan & Provider Enumeration System. The contents of Ian Theodore Puetz D.C. are for informational purposes only.