| NPI | 1306005590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT HAINES IVERSEN President/Owner 480-990-9095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: AZ 4858) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2009-02-18 |