| NPI | 1326216391 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DAN H FROERER Manager 480-833-0302  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 7548)  | 
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 1472)  | 
| 225100000X Physical Therapist (Licence: AZ 4477)  | |
| Enumeration Date | 2008-02-13 | 
| Last Update Date | 2008-02-13 |