| NPI | 1457542367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUMBERTO MONTERO Chiropractor 928-782-2233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: AZ 1490) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2016-09-01 |