NPI | 1235670704 |
---|---|
Entity Type | Organization |
Authorized Contact | DOUGLAS RYAN SCHULTZ Chiropractor 480-340-3807 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: ID CHIA-1634) |
Enumeration Date | 2017-03-16 |
Last Update Date | 2017-03-16 |