| NPI | 1114351228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEISA-MARIE M GRGULA D.C. 602-493-2228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 5614) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2020-04-03 |