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NPI 1174793004

OrganizationActive

1524 Corporation Inc.

NPI 1174793004 · Chiropractor · Mesa, AZ

Provider details

NPI number: 1174793004
Entity type: Organization
Primary specialty: ChiropractorChiropractic Providers
Authorized official: Susana Probyn, President
License: 5724 (AZ)

Practice location

6047 E University Dr

Mesa, AZ 85205-7517

Phone: (480) 985-3040

Fax: (480) 985-3040

More AZ providers

Mailing address

6047 E University Dr

Mesa, AZ 85205-7517

Registry dates

Enumerated: 2008-03-06
Last updated: 2011-10-25

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

1524 Corporation Inc. — NPI 1174793004, Mesa, AZ | NPI Central