| NPI | 1427115773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM HALLOWS Owner 480-985-0720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 7764) |
| Additional Taxonomies | 111NR0400X (Licence: AZ 4447) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2007-10-17 |