| 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 |