Individual provider · Type 1 NPI

Petula Monique Gillingham, DC

Chiropractor · Mesa, AZ

NPI number 1124298211 Active

Practice location

3130 E Baseline Rd Ste 107
Mesa, AZ 85204-7290

Fax (480) 926-1721

Mailing address

1839 S Alma School Rd Ste 354
Mesa, AZ 85210-3028

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X6097 (AZ)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1124298211

Petula Monique Gillingham, DC's National Provider Identifier is 1124298211, issued on Mar 5, 2008. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Mesa, AZ. The record was last updated on Feb 28, 2023.