| NPI | 1457748113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA ELLEN DICKISON Billing Manager 928-777-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ DC5343) |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2015-08-24 |