NPI | 1609064823 |
---|---|
Doing Business As | CANYON RANCH |
Doing Business As | TUCSON LENOX LLC |
Entity Type | Organization |
Authorized Contact | HENRY DITTMER SVP Authorized Signatory 520-749-9655 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ OTC1976) |
207R00000X Internal Medicine (Licence: AZ OTC8497) | |
Enumeration Date | 2007-10-12 |
Last Update Date | 2018-04-09 |