| NPI | 1114462777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON M TANNER Owner 480-595-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 5571) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: AZ 304) |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2017-03-21 |