| NPI | 1326362807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN J BACA Owner/Physician 480-413-0586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NI0013X Chiropractor, Independent Medical Examiner (Licence: AZ AZ5837) |
| Additional Taxonomies | 111NI0013X Chiropractor, Independent Medical Examiner (Licence: AZ 5837) |
| Enumeration Date | 2010-03-26 |
| Last Update Date | 2017-12-04 |