| NPI | 1568681104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON M TANNER President 480-595-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 5571) |
| Additional Taxonomies | 111NR0400X Chiropractor Rehabilitation (Licence: AZ 3386) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2007-11-15 |