NPI | 1053504431 |
---|---|
Entity Type | Organization |
Authorized Contact | DUANE C OSTLER Doctor Of Chiropractic 480-893-8700 |
Organization Subpart ? | No |
Primary Taxonomy | 111NR0400X (Licence: AZ D.C.4863, PHYSIOTHER) |
Enumeration Date | 2007-08-20 |
Last Update Date | 2007-09-11 |