| NPI | 1053542175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHETT L MALLETT Owner 602-298-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor Nutrition |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2009-08-06 |