| NPI | 1417173857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE ICKES Senior Practice Manager 480-222-9819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175F00000X Naturopath |
| Additional Taxonomies | 175F00000X Naturopath |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2025-05-30 |