| NPI | 1174556237 |
|---|---|
| Doing Business As | ARIZONA BACK INSTITUE |
| Entity Type | Organization |
| Authorized Contact | RANDALL C. PRUITT President 480-503-3344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2022-07-21 |