| NPI | 1093991556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFRY TODD VENDSEL President/CEO 520-290-2229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: AZ 5654) |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2008-04-23 |