Provider Demographics
NPI:1043311020
Name:MILBRANDT, PETER DONALD (DC,DACNB)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:DONALD
Last Name:MILBRANDT
Suffix:
Gender:M
Credentials:DC,DACNB
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:7227 N 16TH ST
Mailing Address - Street 2:SUITE 255
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85020-5251
Mailing Address - Country:US
Mailing Address - Phone:602-242-8866
Mailing Address - Fax:602-242-6455
Practice Address - Street 1:7227 N 16TH ST
Practice Address - Street 2:SUITE 255
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85020-5251
Practice Address - Country:US
Practice Address - Phone:602-242-8866
Practice Address - Fax:602-242-6455
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ0632111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology