| NPI | 1437307063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS JAY Owner 623-209-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 8004) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 7771) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2009-01-27 |