| NPI | 1235461005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS EDWARD DAHL Owner 623-582-6141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 4405) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: AZ 124) |
| Enumeration Date | 2010-02-04 |
| Last Update Date | 2010-02-04 |