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 |