| NPI | 1366824369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE EDWARD MOUNSEY Manager/Chiropractic Physician 928-636-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 8384) |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2018-08-15 |