| NPI | 1316903958 |
|---|---|
| Other Name | MINDY JEWELL WEISBROD |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ DC4299) |
| Additional Taxonomies | 111NR0200X Chiropractor, Radiology (Licence: AZ DC4299) |
| 111NS0005X Chiropractor, Sports Physician (Licence: AZ DC4299) | |
| Enumeration Date | 2006-04-22 |
| Last Update Date | 2012-05-16 |