| NPI | 1215125620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH OSWALD DIDURO Owner 480-789-0953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: AZ 7757) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2011-10-28 |