| NPI | 1053583450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN SCOTT METTHAM Vice President 480-940-7444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 7077) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: AZ 3751) |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2023-11-08 |