| NPI | 1174681746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE W KUKURIN Chief Of Staff 623-687-5252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: PA 2746L) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: PA 2888L) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |