| NPI | 1558728949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAYLEN BARTLETT Doctor/Owner 623-225-5560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 8484) |
| Additional Taxonomies | 111NI0013X Chiropractor Independent Medical Examiner (Licence: AZ 8484) |
| 111NN1001X Chiropractor Nutrition (Licence: AZ 8484) | |
| 111NP0017X Chiropractor Pediatric Chiropractor (Licence: AZ 8484) | |
| 111NR0200X Chiropractor Radiology (Licence: AZ 8484) | |
| 111NR0400X Chiropractor Rehabilitation (Licence: AZ 8484) | |
| 111NS0005X Chiropractor Sports Physician (Licence: AZ 8484) | |
| 111NT0100X Chiropractor Thermography (Licence: AZ 8484) | |
| 111NX0800X Chiropractor Orthopedic (Licence: AZ 8484) | |
| Enumeration Date | 2016-01-15 |
| Last Update Date | 2016-01-15 |