NPI | 1598572562 |
---|---|
Entity Type | Organization |
Authorized Contact | MITCHELL GERARD FASSAERT Chiropractor 602-437-2225 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation |
Enumeration Date | 2024-12-13 |
Last Update Date | 2024-12-13 |