| NPI | 1609070028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J. RICKS President 480-545-0062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: AZ 2034) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2012-06-27 |