| NPI | 1073783601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY B PERUCH Owner 623-362-1950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 5710) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 6052) |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2008-03-11 |