| NPI | 1306141635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSH J BALDWIN Owner/Manager 602-788-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2014-08-05 |