1524 Corporation Inc.

NPI #1174793004 in Mesa, Arizona

Provider Information

NPI Number: 1174793004
Entity Type: Organization
Organization Name: 1524 Corporation Inc.
Primary Specialty: Chiropractor
Enumeration Date: Mar 6, 2008
Last Updated: Oct 25, 2011

Practice Location

Address: 6047 E UNIVERSITY DR
City: Mesa
State: Arizona
ZIP Code: 85205-7517
Phone: (480) 985-3040

Authorized Official

Name: DR. SUSANA MARLENE PROBYN, D.C.
Title: PRESIDENT
Phone: (480) 985-3040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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