| NPI | 1184087579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT BAKER Owner 480-707-1398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP2911) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 8038) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2016-09-08 |