| NPI | 1508062225 |
|---|---|
| Doing Business As | FIESTA CHIROPRACTIC CENTER |
| Entity Type | Organization |
| Authorized Contact | CLINT BENNION Owner Chiropractor 480-649-5297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 7279) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2008-08-08 |