NPI | 1003970930 |
---|---|
Doing Business As | DENNIS D AND RYAN D GUSTAFSON DC |
Entity Type | Organization |
Authorized Contact | RYAN D GUSTAFSON President 928-753-2047 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Enumeration Date | 2006-12-22 |
Last Update Date | 2008-07-11 |