| NPI | 1316903859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY LEVIN President 602-789-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ DC5107) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ DC5074) |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2020-08-22 |