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 |