| NPI | 1578910295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS STIEGLER Medical Director 928-556-0707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: AZ 005517) |
| Additional Taxonomies | 111NN0400X Chiropractor, Neurology (Licence: AZ 5935) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2016-05-23 |