| NPI | 1255584785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELODY A. HOLLADAY Chiropractor 928-203-9060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: AZ 5883) |
| Additional Taxonomies | 111NI0900X Chiropractor, Internist (Licence: AZ 5883) |
| 111NN0400X Chiropractor, Neurology (Licence: AZ 5883) | |
| 111NN1001X Chiropractor, Nutrition (Licence: AZ 5883) | |
| 111NR0200X Chiropractor, Radiology (Licence: AZ 5883) | |
| 111NS0005X Chiropractor, Sports Physician (Licence: AZ 5883) | |
| 111NT0100X Chiropractor, Thermography (Licence: AZ 5883) | |
| 111NX0100X Chiropractor, Occupational Health (Licence: AZ 5883) | |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |