| NPI | 1164951208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN MCMAHAN Manager 602-723-1494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ DC5016) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: AZ DC5016) |
| Enumeration Date | 2017-06-11 |
| Last Update Date | 2022-07-21 |