NPI | 1528242310 |
---|---|
Entity Type | Organization |
Authorized Contact | KYLE ANDREW KOENKE Doctor Of Chiropractic 480-830-7288 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: AZ 7157) |
Enumeration Date | 2007-12-28 |
Last Update Date | 2007-12-28 |