Provider Demographics
NPI:1942784269
Name:HU, YIQIU (ND)
Entity Type:Individual
Prefix:
First Name:YIQIU
Middle Name:
Last Name:HU
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2136 W ENID AVE
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85202-2813
Mailing Address - Country:US
Mailing Address - Phone:928-890-4790
Mailing Address - Fax:480-336-2311
Practice Address - Street 1:855 S DOBSON RD STE 2
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-5719
Practice Address - Country:US
Practice Address - Phone:480-783-0708
Practice Address - Fax:480-336-2311
Is Sole Proprietor?:No
Enumeration Date:2018-09-21
Last Update Date:2018-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ18-1738175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath