NPI | 1184198608 |
---|---|
Entity Type | Organization |
Authorized Contact | KYAN KARBASSY Owner 480-543-8100 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Additional Taxonomies | 111NR0400X Chiropractor Rehabilitation |
207Q00000X Family Medicine | |
207R00000X Internal Medicine | |
363A00000X Physician Assistant | |
Enumeration Date | 2019-01-17 |
Last Update Date | 2019-01-17 |