| NPI | 1437435658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER JEAN BENINATO CEO/Owner 602-400-5967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 8422) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 7575) |
| 174400000X Specialist (Licence: AZ MT-13327) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: UT 6149394-1205) | |
| 111N00000X Chiropractor (Licence: AZ 8224) | |
| 111N00000X Chiropractor (Licence: AZ 8468) | |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2016-01-14 |